Mahmoud Ali Mohamed Ali, MBBCh
Pathology, Anatomic Pathology & Clinical Pathology in Milwaukee, WI. Individual provider (NPI-1).
Details
- NPI
- 1366089310
- Entity type
- Individual (NPI-1)
- Name
- Mahmoud Ali Mohamed Ali
- Credential
- MBBCh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2019
- Certification date
- Sep 25, 2024
- Last updated
- Sep 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 81464 | WI | Yes |
Practice location
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-6966 · Fax 414-805-6980
Mailing address
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-6966 · Fax 414-805-6980
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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