Provider Demographics
NPI:1649431511
Name:AHMED, ALI MIR (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:MIR
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:JT 604
Mailing Address - Street 2:619 19TH STREET S
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-6963
Mailing Address - Country:US
Mailing Address - Phone:205-996-4744
Mailing Address - Fax:205-975-6381
Practice Address - Street 1:JT 604
Practice Address - Street 2:619 19TH STREET S
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-6963
Practice Address - Country:US
Practice Address - Phone:205-996-4744
Practice Address - Fax:205-975-6381
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT53027207R00000X, 207RG0100X
NY255638207R00000X, 207RG0100X
AL34619207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine