Provider Demographics
NPI:1720165319
Name:DR. ZULEKHA Y. ALI MD PC
Entity Type:Organization
Organization Name:DR. ZULEKHA Y. ALI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZULEKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-856-7100
Mailing Address - Street 1:75 BARCLAY CIR
Mailing Address - Street 2:STE. 105
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4508
Mailing Address - Country:US
Mailing Address - Phone:248-856-7100
Mailing Address - Fax:248-856-7101
Practice Address - Street 1:75 BARCLAY CIR
Practice Address - Street 2:STE. 105
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4508
Practice Address - Country:US
Practice Address - Phone:248-856-7100
Practice Address - Fax:248-856-7101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4353090 10Medicaid
MI0F38739OtherBCBSM
MIH26419Medicare UPIN
MI0P37650Medicare PIN