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1417174186

NPI Code Detail

MEDICARE: MUHAMMAD ALI PERVAIZ MD

MEDICARE: MUHAMMAD ALI PERVAIZ 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
1	2084P0800X	Psychiatry Physician	060549	GA
2	207SG0201X	Clinical Genetics (M.D.) Physician	060549	GA
3	208M00000X	Hospitalist Physician	13465	NH
4	207ZC0006X	Clinical Pathology Physician	53443	MN
5	208M00000X	Hospitalist Physician	060549	GA
6	202K00000X	Phlebology Physician	60549	GA
7	207ZC0006X	Clinical Pathology Physician	105011	MN
8	208M00000X	Hospitalist Physician	50398-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417174186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD ALI PERVAIZ MD

Provider Business Mailing Address
First Line	:	7125 ORCHARD LAKE RD STE 120
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3627
Country	:	US
Telephone Number	:	866-607-2308
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 HOSPITAL BLVD
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-4915
Country	:	US
Telephone Number	:	770-751-2777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	04/21/2026

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Directions to “ MUHAMMAD ALI PERVAIZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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