Individual
ALI AHSAN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-9105
(573) 776-9086
Mailing address
7901 BROADWAY # C10-12, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
310218
NY
390200000X
Student in an Organized Health Care Education/Training Program
310218
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2017
Last updated
04/28/2026
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