Provider Demographics
NPI:1881763027
Name:ADHAMSAYED-ALI,MD,PC.
Entity type:Organization
Organization Name:ADHAMSAYED-ALI,MD,PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADHAM
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:SAYED-ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-581-1222
Mailing Address - Street 1:6211 CHASE RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2107
Mailing Address - Country:US
Mailing Address - Phone:313-581-1222
Mailing Address - Fax:313-581-6657
Practice Address - Street 1:6211 CHASE RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2107
Practice Address - Country:US
Practice Address - Phone:313-581-1222
Practice Address - Fax:313-581-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301069195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty