Provider Demographics
NPI:1124122270
Name:ALI, MOHAMED F (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:F
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:373 NEW BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5814
Mailing Address - Country:US
Mailing Address - Phone:508-679-0911
Mailing Address - Fax:508-736-0310
Practice Address - Street 1:373 NEW BOSTON RD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5814
Practice Address - Country:US
Practice Address - Phone:508-679-0911
Practice Address - Fax:508-736-0310
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA35749207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA130862OtherHARVARD PILGRIM
MA0012260OtherNHP-MA
MA035749OtherTUFTS
MA3419091OtherCIGNA
MAUSHC2326642OtherAETNA
MA3419091OtherCIGNA
MAUSHC2326642OtherAETNA