Provider Demographics
NPI:1619063542
Name:COMPREHENSIVE RHEUMATOLOGY CARE PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE RHEUMATOLOGY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-822-5660
Mailing Address - Street 1:242 INDIAN LAKE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6205
Mailing Address - Country:US
Mailing Address - Phone:615-822-5660
Mailing Address - Fax:615-822-5611
Practice Address - Street 1:242 INDIAN LAKE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6205
Practice Address - Country:US
Practice Address - Phone:615-822-5660
Practice Address - Fax:615-822-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3735499Medicaid
KY64130214Medicaid
TN7703883OtherAETNA
TN4141539OtherBCBS
TNP00425199OtherRAILROAD MEDICARE
TNI24961OtherHEALTHSPRING
TN01043555OtherAMERIGROUP
TNTN0103OtherAMERICHOICE
KY64130214Medicaid
TNI24961Medicare UPIN
TN4141539OtherBCBS