Individual
DR. MADAD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(855) 826-3878
Mailing address
1 INGALLS DR, HARVEY, IL 60426-3558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47868
TX
207R00000X
Internal Medicine Physician
99999
TX
207R00000X
Internal Medicine Physician
U2767
TX
207RG0100X
Gastroenterology Physician
Primary
036140847
IL
207RG0100X
Gastroenterology Physician
121321
NY
207RG0100X
Gastroenterology Physician
2002027101
MO
207RG0100X
Gastroenterology Physician
25MA03726400
NJ
207RG0100X
Gastroenterology Physician
47868
TX
207RG0100X
Gastroenterology Physician
99999
TX
207RG0100X
Gastroenterology Physician
MD451324
PA
207RG0100X
Gastroenterology Physician
U2767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103215762
—
PA
01
—
174360
ALLIANCE BLUE CROSS BLUE SHIELD
MO
05
—
206012700
—
MO
Enumeration date
07/21/2006
Last updated
07/24/2024
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