Provider Demographics
NPI:1417769449
Name:ALI, HASSAN I
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:
Last Name:ALI
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2285 STEWART AVE APT 1108
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3149
Mailing Address - Country:US
Mailing Address - Phone:404-552-8889
Mailing Address - Fax:
Practice Address - Street 1:2285 STEWART AVE APT 1108
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3149
Practice Address - Country:US
Practice Address - Phone:404-552-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health