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NPI Code Detail

MEDICARE: DR. JEFFREY ASGAR ALI M.D.

MEDICARE: DR. JEFFREY ASGAR ALI M.D.
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
12084P0800XPsychiatry Physician14067MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00649222OTHERMSMEDICARE RR
4P01402415OTHERMSRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260044395OTHERMSPALMETTO GBA-RAILROAD MED
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164468468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY ASGAR ALI M.D.
Provider Business Mailing Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-984-6925
Fax Number : 601-984-5842
Provider Business Practice Location Address
First Line : 3450 HIGHWAY 80 W
Second Line :
City : JACKSON
State : MS
Zip : 39209-7201
Country : US
Telephone Number : 601-321-2400
Fax Number : 601-985-5174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 06/10/2019

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