Ali, Amjad Mohammed

Ali, Amjad Mohammed is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ali, Amjad Mohammed can be contacted via phone (845) 333-7575.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Phone: (845) 333-7575
Fax: (845) 333-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08464300 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44385 Kentucky
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01065411A Indiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 251131 New York

Profile Details

NPI number 1699935650
LBN Legal business name Ali, Amjad Mohammed
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jul 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699935650 NPPES
Kentucky MEDICAID 7100407110
Kentucky MEDICAID 0226971
Kentucky MEDICAID 200930890

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