Provider Demographics
NPI:1205571692
Name:RASOOL, ALI M (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:M
Last Name:RASOOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 WOODS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4848
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:843-790-1982
Practice Address - Street 1:3323 WOODS EDGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4848
Practice Address - Country:US
Practice Address - Phone:713-992-0685
Practice Address - Fax:843-790-1982
Is Sole Proprietor?:No
Enumeration Date:2022-05-01
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV8373207R00000X
AZR79491207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine