Individual
MR. ALI HASAN EBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 SW DRAKE DR, LEES SUMMIT, MO 64082-4800
(313) 949-5894
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-5511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2022003405
MO
Other
Enumeration date
05/26/2017
Last updated
11/14/2025
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