Individual provider · NPI-1

Dr. Mohammad Raza Ali, M.D.

Hospitalist · Bethlehem, PA

NPI number1326484783
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1326484783
Entity type
Individual (NPI-1)
Name
Dr. Mohammad Raza Ali
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2013
Certification date
Jun 7, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistMD458554PAYes
207Q00000X Family MedicineMD458554PA

Practice location

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

Phone 484-884-9677 · Fax 484-884-9297

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622

Phone 484-884-0617 · Fax 484-884-0628

Other practice locations

2838 Route 611
Tannersville, PA 18372-7923

Phone 570-426-6010 · Fax 570-426-2637

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