Provider Demographics
NPI:1639519705
Name:ALI, AYESHA SAJID (MD)
Entity Type:Individual
Prefix:
First Name:AYESHA
Middle Name:SAJID
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 NW 167TH STREET
Mailing Address - Street 2:CHEN MED
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:305-831-4761
Mailing Address - Fax:
Practice Address - Street 1:8529 PINES BLVD
Practice Address - Street 2:CHEN MEDICAL PEMBROKE PINES INC
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:954-704-3300
Practice Address - Fax:954-431-7237
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine