Organization
AHMED ABASSET ALI MD PA INC
Active
Other names
Noydeen Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED ALI M.D. (OWNER)
(501) 209-4040
Entity
Organization
Contact information
Practice address
2301 SPRINGHILL RD STE 110, BRYANT, AR 72019-7573
(501) 209-4040
Mailing address
2301 SPRINGHILL RD STE 110, BRYANT, AR 72019-7573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-7341
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5D982
BLUE CROSS BLUE SHEILD
AR
Enumeration date
11/18/2014
Last updated
03/26/2018
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