Provider Demographics
NPI:1295897841
Name:ALI, NUZHAT J (MD)
Entity type:Individual
Prefix:DR
First Name:NUZHAT
Middle Name:J
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1335 S LINDEN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3420
Mailing Address - Country:US
Mailing Address - Phone:810-733-0010
Mailing Address - Fax:810-733-0011
Practice Address - Street 1:1335 S LINDEN RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3420
Practice Address - Country:US
Practice Address - Phone:810-733-0010
Practice Address - Fax:810-733-0011
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2011-10-31
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Provider Licenses
StateLicense IDTaxonomies
MI4301089199208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3506910442OtherBCBSM
MI5197150Medicaid