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1881156891

NPI Code Detail

MEDICARE: ALI ABDULKAREEM ABBAS ALSARAH MD

MEDICARE: ALI ABDULKAREEM ABBAS ALSARAH 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	2084N0400X	Neurology Physician	2025027547	MO
2	2084A2900X	Neurocritical Care Physician	2025027547	MO
3	2084N0400X	Neurology Physician	CDRH.0076546	CO

General Provider Information

NPI Number	:	1881156891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ABDULKAREEM ABBAS ALSARAH MD

Provider Business Mailing Address
First Line	:	2315 E HARMONY RD STE 110
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8623
Country	:	US
Telephone Number	:	970-482-7373
Fax Number	:	970-484-5682

Provider Business Practice Location Address
First Line	:	2315 E HARMONY RD STE 110
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8623
Country	:	US
Telephone Number	:	970-482-7373
Fax Number	:	970-484-5682

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

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	03/13/2026

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Directions to “ ALI ABDULKAREEM ABBAS ALSARAH MD” Practice Location

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