MEDICARE: DR. DANISH ALI DO

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	208100000X	Physical Medicine & Rehabilitation Physician	S5111	TX
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	S5111	TX

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	:	1609214253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANISH ALI DO

Provider Business Mailing Address
First Line	:	9638 HUFFMEISTER RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2895
Country	:	US
Telephone Number	:	281-214-2121
Fax Number	:	281-214-2104

Provider Business Practice Location Address
First Line	:	9638 HUFFMEISTER RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2895
Country	:	US
Telephone Number	:	281-214-2121
Fax Number	:	281-214-2104

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

Provider Enumeration Date	:	06/05/2013
Last Update Date	:	08/08/2023

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Directions to “ DR. DANISH ALI DO” Practice Location

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