Provider Demographics
NPI:1851423388
Name:ALI, KASHIF (MD)
Entity Type:Individual
Prefix:DR
First Name:KASHIF
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 UNION HALL CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2503
Mailing Address - Country:US
Mailing Address - Phone:410-788-1950
Mailing Address - Fax:301-982-2420
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 205
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-982-9800
Practice Address - Fax:301-982-2420
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08010900207R00000X, 207RH0003X
MDD69297207RH0003X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00765842OtherRR MEDICARE - PHYS ASSOC OF TEANECK
NJ0130184Medicaid
NJ45893-NON PAROtherUHP-PHYS ASSOC OF TEANECK
NJ45893-NON PAROtherUHP-PHYS ASSOC OF TEANECK