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NPI Code Detail

MEDICARE: SYED ALI

MEDICARE:   SYED  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
12084N0400XNeurology Physician36618CT
22084N0400XNeurology Physician13781NV
32084N0400XNeurology PhysicianV0914TX

General Provider Information

NPI Number : 1396733713
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYED ALI
Provider Business Mailing Address
First Line : PO BOX 732973
Second Line :
City : DALLAS
State : TX
Zip : 75373-0880
Country : US
Telephone Number :
Fax Number : 817-702-2140
Provider Business Practice Location Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-3431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 05/15/2024

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Directions to “ SYED ALI ” Practice Location

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