Provider Demographics
NPI:1194887265
Name:ALI, AHMED SYED (MD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:SYED
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 6441
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63006-6441
Mailing Address - Country:US
Mailing Address - Phone:314-736-1333
Mailing Address - Fax:314-736-1336
Practice Address - Street 1:1025 DUNN RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8205
Practice Address - Country:US
Practice Address - Phone:314-736-1333
Practice Address - Fax:314-736-1336
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2023-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301089175208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7463020001Medicare NSC