Individual
DR. JEFFREY ASGAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
(601) 985-5174
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6925
(601) 984-5842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14067
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114335
—
MS
01
—
260044395
PALMETTO GBA-RAILROAD MED
MS
01
—
P00649222
MEDICARE RR
MS
01
—
P01402415
RR MEDICARE
MS
Enumeration date
06/22/2006
Last updated
06/10/2019
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