Individual
MAHMUDA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
608 ROLLING ROCK RD, BLOOMFIELD HILLS, MI 48304-1055
(586) 996-1013
Mailing address
608 ROLLING ROCK RD, BLOOMFIELD HILLS, MI 48304-1055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704380859
MI
363LA2100X
Acute Care Nurse Practitioner
4704380859
MI
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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