Individual
DR. MOHAMMAD FAROOQ ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
242 INDIAN LAKE BLVD, SUITE 100, HENDERSONVILLE, TN 37075-6213
(615) 822-5660
(615) 822-5611
Mailing address
242 INDIAN LAKE BLVD STE 100, HENDERSONVILLE, TN 37075-6205
(615) 822-5660
(615) 822-5611
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
41422
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043555
AMERIGROUP
TN
05
—
3735499
—
TN
01
—
3828504
MEDICARE
TN
01
—
4141539
BCBS
TN
01
—
7703883
AETNA
TN
01
—
I24961
HEALTHSPRING
TN
01
—
TN0103
AMERICHOICE
TN
Enumeration date
09/06/2006
Last updated
01/08/2025
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