Mohamud Ali

Individual provider Active NPI Case Manager/Care Coordinator · Nashville, TN

NPI 1003364704 · NPPES record last updated Sep 12, 2016

Key facts

NPI
1003364704
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
000863953 (TN)
Practice address
1926B Laurinda Dr
Nashville, TN 37217-1313
Phone
(615) 243-7566
NPI assigned
Sep 12, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000863953TNMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 000863953 TN Yes

Addresses

Primary practice location

1926B Laurinda Dr
Nashville, TN 37217-1313

Mailing address

1926B Laurinda Dr
Nashville, TN 37217-1313

Other providers in Nashville, TN

All providers in Nashville, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.