Provider Demographics
NPI:1447477716
Name:ALI, SYED ASHRAF (PA-C)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:ASHRAF
Last Name:ALI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:
Practice Address - Street 1:HOWARD COUNTY GENERAL HOSPITAL
Practice Address - Street 2:5755 CEDAR LANE
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3260
Practice Address - Country:US
Practice Address - Phone:443-718-2244
Practice Address - Fax:410-740-7511
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003476363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD9994133OtherAETNA
MDP01131149OtherRAILROAD MEDICARE
MDP01131149OtherRAILROAD MEDICARE