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NPI Code Detail

MEDICARE: DR. JASIM MOHAMMAD EL-ALI MD, PHARMD, MLS

MEDICARE: DR. JASIM MOHAMMAD EL-ALI MD, PHARMD, MLS
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
1183500000XPharmacistS025630AZ
2390200000XStudent in an Organized Health Care Education/Training ProgramR82889AZ
3207Q00000XFamily Medicine PhysicianR82889AZ

General Provider Information

NPI Number : 1538775903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASIM MOHAMMAD EL-ALI MD, PHARMD, MLS
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 06/07/2026

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