Provider Demographics
NPI:1861848533
Name:HUDA, ALI SYED (MD)
Entity Type:Individual
Prefix:MR
First Name:ALI
Middle Name:SYED
Last Name:HUDA
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 1:2333 BIDDLE AVE
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-4668
Mailing Address - Country:US
Mailing Address - Phone:734-246-6000
Mailing Address - Fax:734-246-6069
Practice Address - Street 1:22720 MICHIGAN AVE STE 200
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2021
Practice Address - Country:US
Practice Address - Phone:313-791-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2023-10-12
Deactivation Date:2017-01-10
Deactivation Code:
Reactivation Date:2017-02-08
Provider Licenses
StateLicense IDTaxonomies
MI4301509291207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease