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General NPI Number Information
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NPI Number | 1487178737
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Entity Type | Individual
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Provider Name | FATIMA ALI MD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 1550 FAULK ST STE 1500
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City | MONROE
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State | NC
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Zip | 28112-5088
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Country | US
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Telephone | 980-442-0430
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Fax |
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Provider Business Mailing Address
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Address Line | BAYSTATE MEDICAL CENTER 759 CHESTNUT ST
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City | SPRINGFIELD
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State | MA
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Zip | 01199-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2024-01416
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License Number State | NC
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