Healthcare Provider Details

I. General information

NPI: 1710806682
Provider Name (Legal Business Name): MOHAMMED AL-ANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HIGHLAND AVE SALEM, MA 01970 SALEM HOSPITAL 81 HIGHLAND AVE SALEM, MA 01970
SALEM MA
01970
US

IV. Provider business mailing address

205 HIGHLAND AVE, APT 1306, SALEM MA
SALEM MA
01970
US

V. Phone/Fax

Practice location:
  • Phone: 978-741-1200
  • Fax:
Mailing address:
  • Phone: 352-558-7063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: