MEDICARE: MUHAMMAD 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
1	207RG0100X	Gastroenterology Physician	P9788	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427248608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD ALI M.D.

Provider Business Mailing Address
First Line	:	8415 DATAPOINT DR STE 700
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3327
Country	:	US
Telephone Number	:	210-614-1234
Fax Number	:	210-614-0952

Provider Business Practice Location Address
First Line	:	11212 STATE HIGHWAY 151 STE 250
Second Line	:	MEDICAL PLAZA 1
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4507
Country	:	US
Telephone Number	:	210-614-1234
Fax Number	:	210-614-0952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	11/08/2021

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Directions to “ MUHAMMAD ALI M.D.” Practice Location

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