| Mujtaba Mohammed Ali, MD | |
|
5323 Harry Hines Blvd, Mc 9157, Dallas, TX 75390-9157 | |
| (214) 645-0545 | |
| Not Available |
| Full Name | Mujtaba Mohammed Ali |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 15 Years |
| Location | 5323 Harry Hines Blvd, Dallas, Texas |
| 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 |
|---|---|---|---|
| 1851612592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 245521 (Massachusetts) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | Q5326 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Baylor Scott & White Heart & Vascular Hospital - Dallas | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2048 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mujtaba Mohammed Ali, MD 5323 Harry Hines Blvd, Mc 9157, Dallas, TX 75390-9157 Ph: (214) 645-0545 | Mujtaba Mohammed Ali, MD 5323 Harry Hines Blvd, Mc 9157, Dallas, TX 75390-9157 Ph: (214) 645-0545 |
Cassidy Ann Gafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Brett D Arnoldo, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3067 | |
Dr. Gail S Lebovic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12200 Preston Rd, Dallas, TX 75230 Phone: 972-560-2667 | |
Dr. Russell C Lam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Dr. Brian Ezekian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln Ste C240, Dallas, TX 75230 Phone: 972-566-7000 | |
Nirmal Samuel Jayaseelan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11970 N Central Expy Ste 670, Dallas, TX 75243 Phone: 972-331-1111 Fax: 972-331-1112 | |
Dr. Mirza Shadman Baig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Inwood Rd, 5th Fl, West Campus Bldg 3, Dallas, TX 75390 Phone: 214-645-0538 Fax: 214-645-0536 |