Individual
ALI TAHA HAMOUDI HAMOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(888) 720-2012
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036151736
IL
207R00000X
Internal Medicine Physician
125071172
IL
207RC0000X
Cardiovascular Disease Physician
Primary
102042
WI
208M00000X
Hospitalist Physician
036151736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100286182
—
WI
Enumeration date
06/19/2017
Last updated
09/23/2024
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