Provider Demographics
NPI:1730213240
Name:ALI, ADIL (MD)
Entity type:Individual
Prefix:DR
First Name:ADIL
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5333 MCAULEY DRIVE
Mailing Address - Street 2:SUITE 2009
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1014
Mailing Address - Country:US
Mailing Address - Phone:734-172-0050
Mailing Address - Fax:734-712-0055
Practice Address - Street 1:5333 MCAULEY DRIVE
Practice Address - Street 2:SUITE 2009
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-172-0050
Practice Address - Fax:734-712-0055
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2021-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4397842081P2900X
NJ25MA087259002081P2900X
MI43010881752081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1730213240Medicaid
MI250110020OtherBCBS OF MICHIGAN
MI250110020OtherBCBS OF MICHIGAN