Mohammed Fahad Ali
Internal Medicine, Gastroenterology in Loma Linda, CA. Individual provider (NPI-1).
NPI number1740644657
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1740644657
- Entity type
- Individual (NPI-1)
- Name
- Mohammed Fahad Ali
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2016
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | A152531 | CA | Yes |
| 207R00000X | Internal Medicine | A152531 | CA | |
| 208M00000X | Hospitalist | A152531 | CA |
Practice location
11201 Benton St3rd Floor - Gi Lab
Loma Linda, CA 92357-1766
Phone 909-825-7084
Mailing address
11201 Benton St3rd Floor - Gi Lab
Loma Linda, CA 92357-1000
Phone 909-825-7084
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