Tareq Ali, M.D.
Family Medicine in Lodi, CA. Individual provider (NPI-1).
NPI number1790722718
StatusActive
Last updated in NPPESSep 19, 2008
Details
- NPI
- 1790722718
- Entity type
- Individual (NPI-1)
- Name
- Tareq Ali
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2006
- Last updated
- Sep 19, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A51048 | CA | Yes |
Practice location
1520 W Kettleman LnSuite B
Lodi, CA 95242-9290
Phone 209-339-3797 · Fax 209-339-3795
Mailing address
1520 W Kettleman LnSuite B
Lodi, CA 95242-9290
Phone 209-339-3797 · Fax 209-339-3795
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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.
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All 43 Family Medicine Physician providers in Lodi · All 1,321 providers in Lodi
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