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NPI Code Detail

MEDICARE: ALI MINHAS MD

MEDICARE: ALI MINHAS MD
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
1208M00000XHospitalist Physician036128694IL
2207R00000XInternal Medicine Physician57059TN
3207R00000XInternal Medicine Physician036.128694IL
4390200000XStudent in an Organized Health Care Education/Training ProgramNY
5207R00000XInternal Medicine Physician35.141208OH

General Provider Information

NPI Number : 1285884403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MINHAS MD
Provider Business Mailing Address
First Line : 114 N ORCHARD DR BLDG 18
Second Line :
City : PARK FOREST
State : IL
Zip : 60466-1200
Country : US
Telephone Number : 630-484-0804
Fax Number :
Provider Business Practice Location Address
First Line : 114 N ORCHARD DR BLDG 18
Second Line :
City : PARK FOREST
State : IL
Zip : 60466-1200
Country : US
Telephone Number : 708-283-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 04/06/2026

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Directions to “ ALI MINHAS MD” Practice Location

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