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Mahmoud Ali Mohamed Ali, MBBCh

Pathology, Anatomic Pathology & Clinical Pathology in Milwaukee, WI. Individual provider (NPI-1).

NPI number1366089310
StatusActive
Last updated in NPPESSep 25, 2024

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 codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology81464WIYes

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Phone 414-805-6966 · Fax 414-805-6980

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Phone 414-805-6966 · Fax 414-805-6980

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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.

Other Anatomic Pathology & Clinical Pathology Physician providers in Milwaukee, WI

All 97 Anatomic Pathology & Clinical Pathology Physician providers in Milwaukee · All 23,880 providers in Milwaukee

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