MEDICARE: ALLI MED PLLC

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	207R00000X	Internal Medicine Physician	4301068966	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1780784934	OTHER	MI	NPI SINGLE PROVIDER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487863478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLI MED PLLC

Provider Business Mailing Address
First Line	:	70 N FROST DR STE 4
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5796
Country	:	US
Telephone Number	:	989-790-2690
Fax Number	:	989-790-4759

Provider Business Practice Location Address
First Line	:	70 N FROST DR STE 4
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5796
Country	:	US
Telephone Number	:	989-790-2690
Fax Number	:	989-790-4759

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. MIRZA JAVED HUSSAIN
Credential	:	M.D.
Telephone Number	:	989-790-2690

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	04/22/2025

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Directions to “ALLI MED PLLC ” Practice Location

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