Dr. Mojahid Ali, MD
in Jackson, TN. Individual provider (NPI-1).
NPI number1821627910
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1821627910
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mojahid Ali
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2020
- Certification date
- Jul 28, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 125.077346 | IL | Yes | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
700 W Forest Ave Fl 4Jackson, TN 38301-3937
Phone 731-541-2250
Mailing address
257 Bancorp South PkwyJackson, TN 38305-7582
Phone 731-660-8759 · Fax 731-660-8739
Other practice locations
701 N 1st St # D346
Springfield, IL 62702-3757
Springfield, IL 62702-3757
Phone 217-545-8856 · Fax 217-545-2563
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