Mohamed, Ali M
Mohamed, Ali M is an individual health care provider with primary practice located at 1459 Montreal Rd Ste 312, Tucker GA 30084-6900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mohamed, Ali M can be contacted via phone (770) 270-4060.Contact Information
Primary practice address
1459 Montreal Rd Ste 312
Tucker GA 30084-6900
Phone: (770) 270-4060
Fax: (770) 270-4061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046623 | Georgia |
Profile Details
| NPI number | 1154448967 |
|---|---|
| LBN Legal business name | Mohamed, Ali M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154448967 | NPPES |
| Georgia | MEDICAID | 00815075B | |
| Georgia | Other | 0007493308 | |
| Georgia | Other | 52667599 |
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