Doctor Name: | ALI MOHAMMED |
NPI Number: | 1396735940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301070182 |
Business Practice Address: | G1071 N Ballenger Hwy Suite 310 Flint, MI - 485044453 |
Business Phone Number: | 8102384172 |
Business Fax Number: | 8102384153 |
Mailing Address: | 673 Morningside Dr, GRAND BLANC |
State: | MI |
Postal Code: | 484392313 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 05/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4301070182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |