Provider Demographics
NPI:1518929256
Name:ABDUL ALI,M.D.P.A.
Entity type:Organization
Organization Name:ABDUL ALI,M.D.P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHURRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-464-4140
Mailing Address - Street 1:8830 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3026
Mailing Address - Country:US
Mailing Address - Phone:713-464-4140
Mailing Address - Fax:713-464-7296
Practice Address - Street 1:8830 LONG POINT RD
Practice Address - Street 2:SUITE #507
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3040
Practice Address - Country:US
Practice Address - Phone:713-464-4140
Practice Address - Fax:713-464-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081551601Medicaid
TX081551601Medicaid
TXCS0802Medicare PIN
TX00A48WMedicare PIN