Individual provider · NPI-1

Mohammad Sulman Ali, MD

Surgery, Surgical Oncology · Fargo, ND

NPI number1194245910

StatusActive

Last updated in NPPESAug 15, 2025

Details

NPI: 1194245910
Entity type: Individual (NPI-1)
Name: Mohammad Sulman Ali
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 22, 2017
Certification date: Aug 15, 2025
Last updated: Aug 15, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086X0206X	Surgery, Surgical Oncology	22136	ND	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

801 Broadway N
Fargo, ND 58102-3641

Phone 701-234-2000

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 701-234-2000

Other practice locations

160 Robbins Street
Chase Outpatient Center
Waterbury, CT 06708

Phone 203-573-7284 · Fax 203-573-7031

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