Provider Demographics
NPI:1760718746
Name:ABU ALI, HAMDI (MD)
Entity Type:Individual
Prefix:
First Name:HAMDI
Middle Name:
Last Name:ABU ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1000 BLYTHE BLVD
Mailing Address - Street 2:SHVI - DEPT OF THORACIC SURGERY
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5812
Mailing Address - Country:US
Mailing Address - Phone:704-355-4704
Mailing Address - Fax:704-355-6227
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:SHVI - DEPT OF THORACIC SURGERY
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-355-4704
Practice Address - Fax:704-355-6227
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC157177208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)