Individual
DR. MUHAMMAD A ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3301 BROADWAY, QUINCY, IL 62301-4038
(217) 277-3500
(217) 221-4013
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036096821
IL
207RH0003X
Hematology & Oncology Physician
101113
MO
207RX0202X
Medical Oncology Physician
036096821
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013533
MEDICARE GROUP
MO
01
—
123513
MO WORKER'S COMP
MO
05
—
203868039
—
MO
01
—
304010
MEDICARE GROUP
IL
01
—
383017
IL WORKER'S COMP.
IL
Enumeration date
01/18/2006
Last updated
02/06/2020
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