Individual
MOHAMMED TAHIR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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