Individual provider · NPI-1
Dr. Mohamoud Ali, M.D.
Hospitalist · Minneapolis, MN
NPI number1992069090
StatusActive
Last updated in NPPESNov 14, 2017
Details
- NPI
- 1992069090
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohamoud Ali
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2012
- Last updated
- Nov 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 284547 | NY | Yes |
| 207R00000X | Internal Medicine | 284547 | NY |
Practice location
701 Park Ave South - MedicineHennepin County Medical Center
Minneapolis, MN 55415-1829
Phone 612-873-2300 · Fax 612-904-4358
Mailing address
2112 E 117th StE
Burnsville, MN 55337-7223
Phone 612-516-8272
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