| Ali Endocrinology Pc | |
|
1201 Stone St Ste 6 Port Huron MI 48060-3563 | |
| (810) 985-6227 | |
| (810) 985-6221 |
| Full Name | Ali Endocrinology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 Stone St Ste 6, Port Huron, Michigan |
| Authorized Official Name and Position | Jennifer E Fraley (PRACTICE MANAGER) |
| Authorized Official Contact | 8102041652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Endocrinology Pc 1201 Stone St Ste 6 Port Huron MI 48060-3563 Ph: (810) 985-6227 | Ali Endocrinology Pc 1201 Stone St Ste 6 Port Huron MI 48060-3563 Ph: (810) 985-6227 |
| NPI Number | 1548635121 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 8325340581 |
|---|---|
| Medicare Enrollment ID | O20160105000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548635121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301101847 (Michigan) | Primary |
| Provider Name | Shamsa A Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487780755 PECOS PAC ID: 0648361774 Enrollment ID: I20121017000732 |
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