Provider Demographics
NPI:1962476143
Name:ALI, MOHAMMED AAMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:AAMIR
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 1:2150 PENNSYLVANIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-2222
Mailing Address - Fax:
Practice Address - Street 1:5550 FRIENDSHIP BLVD STE T90
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7313
Practice Address - Country:US
Practice Address - Phone:240-737-0085
Practice Address - Fax:202-296-0301
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33179207RG0100X
MDD0066828207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC036639900Medicaid
MD407492100Medicaid