| Mohammed Tahir Ali, MD | |
|
2799 W Grand Blvd, Detroit, MI 48202-2689 | |
| (313) 916-7425 | |
| Not Available |
| Full Name | Mohammed Tahir Ali |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508326950 | NPI | - | NPPES |
| W2209 | Other | IN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301509357 (Michigan) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 101724 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Metropolitan Radiology Associates Llp | 7214825561 | 42 |
| Entity Name | North Metropolitan Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437137031 PECOS PAC ID: 7214825561 Enrollment ID: O20040308001224 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Tahir Ali, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Mohammed Tahir Ali, MD 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (313) 916-7425 |
Dr. Brent David Griffith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kanika Khanna, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Michael Matthew Dominello, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 4100 John R, Detroit, MI 48201 Phone: 800-527-6266 Fax: 313-576-9640 | |
Rajinder P. Sharma, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Milan V. Pantelic, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Kristan Gail Jenkins-mosure, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Kristin Booth, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 517-402-1383 |