Individual
MAHMOOD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3021 BRUNSWICK RD STE 1105, BARTLETT, TN 38133-4198
(901) 362-8671
Mailing address
PO BOX 383377, GERMANTOWN, TN 38183-3377
(901) 362-8671
(901) 405-0365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000030021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125928
—
MS
05
—
3832363
—
TN
05
—
Q011106
—
TN
Enumeration date
05/12/2006
Last updated
06/25/2024
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