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Dr. Mohammad Taqi Qali, DDS,MS

Dentist, Periodontics in Philadelphia, PA. Individual provider (NPI-1).

NPI number1154095263
StatusActive
Last updated in NPPESAug 3, 2021

Details

NPI
1154095263
Entity type
Individual (NPI-1)
Name
Dr. Mohammad Taqi Qali
Credential
DDS,MS
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2021
Certification date
Jul 20, 2021
Last updated
Aug 3, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, PeriodonticsDS041511PAYes
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsDS041511PA

Practice location

834 Chestnut St Apt No714
Philadelphia, PA 19107-5127

Phone 215-429-9292

Mailing address

834 Chestnut St Apt No714
Philadelphia, PA 19107-5127

Phone 215-429-9292

Is something wrong?

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Other Periodontics providers in Philadelphia, PA

All 74 Periodontics providers in Philadelphia · All 53,595 providers in Philadelphia

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