| Ahmad Khaled Abdul Ali, DO | |
|
5450 Fort St, Trenton, MI 48183-4601 | |
| (734) 671-3297 | |
| Not Available |
| Full Name | Ahmad Khaled Abdul Ali |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 5450 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700307808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0102207023 (Virginia) | Secondary |
| 208600000X | Surgery | 5101023620 (Michigan) | Primary |
| Entity Name | Dominion Health Medical Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
| Entity Name | Martha Jefferson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275720559 PECOS PAC ID: 5991889081 Enrollment ID: O20080228000055 |
| Entity Name | Rmh Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669844908 PECOS PAC ID: 7618270729 Enrollment ID: O20160125000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Khaled Abdul Ali, DO 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 671-3297 | Ahmad Khaled Abdul Ali, DO 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 671-3297 |
Dr. Thomas George Gazdecki, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 200, Trenton, MI 48183 Phone: 734-676-4996 Fax: 734-676-4407 | |
Dr. Cristen Lyn Laird, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2128 W Jefferson Ave, Trenton, MI 48183 Phone: 734-307-3040 Fax: 734-818-5714 | |
Dr. Danielle Agatha Garcia, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Breanna Connett, DO Surgery Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Zachary H Lewis, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3231 West Rd, Trenton, MI 48183 Phone: 734-675-6885 Fax: 734-675-6540 | |
Seth William Lambert, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Mr. Lloyd J. Beaudry, D.O. Surgery Medicare: May Accept Medicare Assignments Practice Location: 3231 West Rd, Trenton, MI 48183 Phone: 734-692-3500 Fax: 734-692-3039 |