Provider Demographics
NPI:1568575074
Name:ALI, MUHAMMAD ASHRAF (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ASHRAF
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MUHAMMAD
Other - Middle Name:A
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:611 S CARLIN SPRINGS RD
Mailing Address - Street 2:SUIT # 514
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1064
Mailing Address - Country:US
Mailing Address - Phone:571-527-0932
Mailing Address - Fax:571-527-0824
Practice Address - Street 1:611 S CARLIN SPRINGS RD
Practice Address - Street 2:SUIT # 514
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1064
Practice Address - Country:US
Practice Address - Phone:571-527-0932
Practice Address - Fax:571-527-0824
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234864207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9127105Medicaid
I-45024Medicare UPIN
VAG02168G01Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
VA9127105Medicaid