Organization · NPI-2

Abbas Ali MD Sc

Internal Medicine, Pulmonary Disease · Milwaukee, WI

NPI number1174949523
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1174949523
Entity type
Organization (NPI-2)
Legal business name
Abbas Ali MD Sc
Organization subpart
No
Enumeration date
Mar 10, 2014
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease42044-20WIYes
207RC0200X Internal Medicine, Critical Care Medicine42044-20WI

Practice location

7733 W Burleigh St
Milwaukee, WI 53222-5003

Phone 262-328-4232 · Fax 414-562-6924

Mailing address

10843 N Pebble Ln
Mequon, WI 53092-5828

Phone 414-759-7764 · Fax 414-562-6924

Authorized official

Abbas Ali
President/Owner
4147597764

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