Individual
MOHAMMAD ALI AL MAHDAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7836 W JEFFERSON BLVD STE 101, FORT WAYNE, IN 46804-4178
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01088553A
IN
207R00000X
Internal Medicine Physician
4301506423
MI
207RN0300X
Nephrology Physician
Primary
01088553A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
05/07/2025
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