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Individual

DR. ALI H MAHMOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13031 CONANT ST, DETROIT, MI 48212-2361
(313) 893-5490
(313) 893-5495
Mailing address
13031 CONANT ST, DETROIT, MI 48212-2361
(313) 893-5490
(313) 893-5495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AM056507
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1108212991
BCBS PIN
MI
05
4283129
MI
05
4653542
MI
Enumeration date
07/15/2005
Last updated
11/07/2024
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