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Individual

AHMAD HASSAN ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 S FAIRVIEW RD, COLUMBIA, MO 65203-7637
(573) 884-7600
(573) 884-8200
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43588
TX
207R00000X
Internal Medicine Physician
43998
TX
207RI0008X
Hepatology Physician
Primary
2021029589
MO
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0031774
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200056477
MO
05
200388520 A
OK
05
285984501
TX
05
87772256
NM
Enumeration date
06/26/2008
Last updated
08/15/2022
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