Organization
FODAH PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED ALI MD, MPH (CHIEF EXECUTIVE OFFICER)
(702) 516-8493
Entity
Organization
Contact information
Practice address
3100 N TENAYA WAY FL 2, LAS VEGAS, NV 89128-0436
(702) 516-8493
Mailing address
6720 N HUALAPAI WAY STE 145-230, LAS VEGAS, NV 89149-1371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
10/29/2024
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