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NPI Code Detail

MEDICARE: MAHMUD ALI M.D.

MEDICARE: MAHMUD ALI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianE4166TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050068620OTHERTXRAILROAD MEDICARE

General Provider Information

NPI Number : 1063416402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHMUD ALI M.D.
Provider Business Mailing Address
First Line : PO BOX 421209
Second Line :
City : HOUSTON
State : TX
Zip : 77242-1209
Country : US
Telephone Number : 713-481-3534
Fax Number : 713-432-0221
Provider Business Practice Location Address
First Line : 700 MEDICAL PKWY
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5413
Country : US
Telephone Number : 713-481-3534
Fax Number : 713-432-0221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 03/19/2009

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