Provider Demographics
NPI:1497751853
Name:ALI, MOHAMMED ZULFEQUAR (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:ZULFEQUAR
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:147 GETTYS ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2534
Practice Address - Country:US
Practice Address - Phone:717-339-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD69527207RI0200X
PAMD426399208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherINTERGROUP
PA7750649OtherAETNA NON-HMO
PAP00683484OtherRAILROAD MEDICARE
PAG920-0091/KDM4CUOtherCAREFIRST
PA25-1716306OtherFIRST HEALTH
PA3155293OtherMAMSI
PA247036OtherUNISON
PA25-1716306OtherINFORMED
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherGREATWEST
PAMD426399OtherMEDICAL LICENSE #
PA101533006Medicaid
PA120420419OtherDEPT OF LABOR
PA1824751OtherAETNA HMO
PA25-1716306OtherSOUTH CENTRAL
PA25-1716306OtherMULTIPLAN/PHCS
PA1560150OtherGATEWAY
PA50077015OtherCAPITAL BLUECROSS
PA867633OtherGROUP MEDICARE #
PA1007307260034OtherMEDICAID GROUP #
PA1767580OtherHIGHMARK BLUE SHIELD
PA25-1716306OtherDEVON
PA800636OtherHEALTH AMERICA
PA7750649OtherAETNA NON-HMO
PA25-1716306OtherGREATWEST
PABA8651704OtherDEA
PAMD426399OtherMEDICAL LICENSE #