Provider Demographics
NPI:1861659351
Name:ALI, MUHAMMAD I (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:I
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:52 HARRISON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2120
Mailing Address - Country:US
Mailing Address - Phone:607-729-8845
Mailing Address - Fax:607-729-5574
Practice Address - Street 1:52 HARRISON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2120
Practice Address - Country:US
Practice Address - Phone:607-729-8845
Practice Address - Fax:607-729-5574
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2017-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE27235207RP1001X, 207RC0200X, 207R00000X
NY285379207RP1001X, 207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine