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Individual

FAHD ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
(407) 303-0347
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
(407) 303-0347

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
244248
NY
2086S0102X
Surgical Critical Care Physician
244248
NY
2086S0102X
Surgical Critical Care Physician
Primary
ME140937
FL
2086S0127X
Trauma Surgery Physician
244248
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03017163
NY
01
P00636829
RAILROAD MEDICARE
NY
Enumeration date
02/12/2008
Last updated
08/08/2019
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