Provider Demographics
NPI:1588422109
Name:ALI CHAMI DPM PLLC
Entity type:Organization
Organization Name:ALI CHAMI DPM PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:734-418-0353
Mailing Address - Street 1:5880 N CANTON CENTER RD STE 462
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-6666
Mailing Address - Country:US
Mailing Address - Phone:734-418-0353
Mailing Address - Fax:734-418-0353
Practice Address - Street 1:5880 N CANTON CENTER RD STE 462
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-6666
Practice Address - Country:US
Practice Address - Phone:734-418-0353
Practice Address - Fax:734-418-0353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty