| Irfan Ali, Md, Pllc | |
|
1384 Cordova Cove Suite 1 Germantown TN 38138-2219 | |
| (901) 753-7700 | |
| (901) 753-7038 |
| Full Name | Irfan Ali, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1384 Cordova Cove, Germantown, Tennessee |
| Authorized Official Name and Position | Irfan Ali (PSYCHIATRIST) |
| Authorized Official Contact | 9017537700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irfan Ali, Md, Pllc 1384 Cordova Cove Suite 1 Germantown TN 38138-2219 Ph: (901) 753-7700 | Irfan Ali, Md, Pllc 1384 Cordova Cove Suite 1 Germantown TN 38138-2219 Ph: (901) 753-7700 |
| NPI Number | 1811167802 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 9133206188 |
|---|---|
| Medicare Enrollment ID | O20080401000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811167802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 032193 (Tennessee) | Primary |
| Provider Name | Irfan Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235153719 PECOS PAC ID: 8224115274 Enrollment ID: I20080401000894 |
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