Basic Information
| Provider Information | |||||||||
| NPI: | 1821262676 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALI-AHMAD | ||||||||
| FirstName: | HUSSEIN | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 13008 | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489013008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5172536320 | ||||||||
| FaxNumber: | 5172536321 | ||||||||
| Practice Location | |||||||||
| Address1: | 1140 E MICHIGAN AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489121806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173649402 | ||||||||
| FaxNumber: | 5174873148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2008 | ||||||||
| LastUpdateDate: | 09/06/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 26176 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 273504 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 4301102280 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.