Individual
MOHAMMED FAHAD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11201 BENTON ST, 3RD FLOOR - GI LAB, LOMA LINDA, CA 92357-1766
(909) 825-7084
Mailing address
11201 BENTON ST, 3RD FLOOR - GI LAB, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A152531
CA
207RG0100X
Gastroenterology Physician
Primary
A152531
CA
208M00000X
Hospitalist Physician
A152531
CA
Other
Enumeration date
04/06/2016
Last updated
03/04/2025
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