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Organization

ALI H. MAHMOOD, PLLC

Active
Other names
Ali H. Mahmood, MD
Organization subpart
No

Provider details

NPI number
Authorized official
ALI H MAHMOOD MD (OWNER)
(734) 699-3080
Entity
Organization

Contact information

Practice address
9850 HAGGERTY RD, VAN BUREN TWP, MI 48111-3443
(734) 699-3080
Mailing address
9850 HAGGERTY RD, VAN BUREN TWP, MI 48111-3443
(734) 699-3080

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301500957
MEDICAL LICENSE
MI
Enumeration date
06/18/2021
Last updated
06/18/2021
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