Provider Demographics
NPI:1871520239
Name:KARRAR, ALI AHMED (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:AHMED
Last Name:KARRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 S SAGINAW ST STE 500
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2451
Mailing Address - Country:US
Mailing Address - Phone:810-953-8700
Mailing Address - Fax:810-953-8704
Practice Address - Street 1:8200 S SAGINAW ST STE 500
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2451
Practice Address - Country:US
Practice Address - Phone:810-953-8700
Practice Address - Fax:810-953-8704
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067638207RR0500X
MIAK067638207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104648444Medicaid
MIAK067638OtherLICENSE
MIH26173Medicare UPIN
MI104648444Medicaid