Individual
ALI BASIL ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(586) 928-3116
Mailing address
43259 HERRING DR, CLINTON TWP, MI 48038-4447
(586) 928-3116
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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