ALI NASSER MD PC NPI 1386839215

NPI Information

NPI: 1386839215
Provider Name: ALI NASSER MD PC

Doing Business As: SAME

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9925 DIX STE 103
DEARBORN, MI
ZIP 48120
Phone: (313) 843-8300
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ALI NASSER MD PC is a primary care clinic center in Dearborn, MI. ALI NASSER MD PC NPI is 1386839215. The provider is registered as an organization entity type.
The provider Is Doing Business As Same.

The provider's business location address is:

9925 DIX STE 103
DEARBORN, MI
ZIP 48120-593
Phone: (313) 843-8300

The provider's authorized official is Ali Mohamed Nassser .
The authorized official title is President and has the following contact phone number (313) 843-8300.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	4301077843	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4627749	MEDICAID	MICHIGAN
2	1108227222	OTHER	MICHIGAN	BLUE CROSS BLUR SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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