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NPI Code Detail

MEDICARE: BIGHDAD ALI

MEDICARE: BIGHDAD 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 : 1013862572
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIGHDAD ALI
Provider Business Mailing Address
First Line : 20000 N 57TH AVE RM A303
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6826
Country : US
Telephone Number : 661-378-6572
Fax Number :
Provider Business Practice Location Address
First Line : 17 S WARREN ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-4506
Country : US
Telephone Number : 973-328-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ BIGHDAD ALI ” Practice Location

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