Individual
MOHAMMED TAHIR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-7425
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
101724
GA
2085R0202X
Diagnostic Radiology Physician
Primary
4301509357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2209
AETNA
IN
Enumeration date
03/21/2019
Last updated
12/01/2025
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