Provider Demographics
NPI:1801989124
Name:ALI, SALEEM AKBER (MD)
Entity type:Individual
Prefix:
First Name:SALEEM
Middle Name:AKBER
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:PO BOX 415000
Mailing Address - Street 2:MSC 410597
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37241
Mailing Address - Country:US
Mailing Address - Phone:901-227-4068
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:2520 FIFTH STREET NORTH
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2008
Practice Address - Country:US
Practice Address - Phone:662-244-2561
Practice Address - Fax:662-244-2575
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS188712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01289552Medicaid
I36921Medicare UPIN
MS260000690Medicare ID - Type Unspecified