Provider Demographics
NPI:1871696096
Name:ALI, MOHAMMAD FAROOQ (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:FAROOQ
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:242 INDIAN LAKE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6205
Mailing Address - Country:US
Mailing Address - Phone:615-822-5660
Mailing Address - Fax:615-822-5611
Practice Address - Street 1:242 INDIAN LAKE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6213
Practice Address - Country:US
Practice Address - Phone:615-822-5660
Practice Address - Fax:615-822-5611
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2025-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN41422207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4141539OtherBCBS
TN3735499Medicaid
TN7703883OtherAETNA
TN01043555OtherAMERIGROUP
TN3828504OtherMEDICARE
TNI24961OtherHEALTHSPRING
TNTN0103OtherAMERICHOICE
TNTN0103OtherAMERICHOICE
TN7703883OtherAETNA