| F Ali Md Pllc | |
|
1711 Monroe St Dearborn MI 48124-2914 | |
| (313) 624-0000 | |
| Not Available |
| Full Name | F Ali Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1711 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Fathelrahman O Ali (OWNER) |
| Authorized Official Contact | 3136240000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Ali Md Pllc 1711 Monroe St Dearborn MI 48124-2914 Ph: (313) 624-0000 | F Ali Md Pllc 1711 Monroe St Dearborn MI 48124-2914 Ph: (313) 624-0000 |
| NPI Number | 1801920137 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 10/03/2007 |
| Medicare PECOS PAC ID | 8820197171 |
|---|---|
| Medicare Enrollment ID | O20070627000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801920137 | NPI | - | NPPES |
| 4301075097 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301075097 (Michigan) | Primary |
| Provider Name | Fathelrahman O Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326018748 PECOS PAC ID: 4284627233 Enrollment ID: I20040406000263 |
| Provider Name | Fredaz Fares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336690486 PECOS PAC ID: 0042625071 Enrollment ID: I20210224001775 |
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