Individual
ISHANI ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 CAMPUS RIDGE DR, MIDLAND, MI 48640-6139
(989) 488-5007
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036111079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111079
—
IL
01
—
097796
HEALTH ALLIANCE
IL
05
—
1568485795
—
MI
01
—
472301
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01AB
JOHN DEERE
IL
01
—
P00144447
MEDICARE RAILROAD
IL
Enumeration date
07/26/2006
Last updated
03/07/2023
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