Organization
FODAH PROFESSIONAL LIMITED LIABILITY COMPANY
Active
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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