Ali Ahmad, MD
Family Medicine in Gulfport, MS. Individual provider (NPI-1).
NPI number1063207280
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1063207280
- Entity type
- Individual (NPI-1)
- Name
- Ali Ahmad
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2025
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | T-5828 | MS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4500 13th StGulfport, MS 39501-2515
Phone 228-867-4000
Mailing address
4500 13th StGulfport, MS 39501-2515
Phone 228-867-4000
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