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NPI Code Detail

MEDICARE: MOHAMED ALI

MEDICARE: MOHAMED ALI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578294971
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ALI
Provider Business Mailing Address
First Line : 6431 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-6784
Fax Number : 713-500-0773
Provider Business Practice Location Address
First Line : 6431 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-6784
Fax Number : 713-500-0773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 06/16/2026

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Directions to “ MOHAMED ALI ” Practice Location

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