Individual
ALI USMAN MAKHDOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 883-1831
Mailing address
5 RUE CHAGALL, SOMERSET, NJ 08873-6477
(908) 202-1703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231140
PA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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