Individual
AMJAD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 E 9TH ST, LONDON, KY 40741
(606) 878-6520
(606) 877-3978
Mailing address
740 E LAUREL RD, LONDON, KY 40741-8601
(606) 877-3931
(606) 877-3978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01081762A
IN
207R00000X
Internal Medicine Physician
Primary
34288
KY
208M00000X
Hospitalist Physician
01081762A
IN
208M00000X
Hospitalist Physician
34288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377977
ANTHEM PROVIDER #
KY
01
—
030670000
BLACK LUNG
KY
01
—
50005623
PASSPORT HEALTHCARE
KY
01
—
611427889
BLUEGRASS FAMILY HEALTHCA
KY
05
—
64027303
—
KY
01
—
930124013
RAILROAD MEDICARE
KY
01
—
C72032
CUMBERLAND HEALTHCARE INC
KY
01
—
K237232
MEDICARE
KY
Enumeration date
02/15/2006
Last updated
10/17/2022
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