Sadik Mohammed Ali, MD

Individual provider Active NPI Internal Medicine Physician · Hagerstown, MD

NPI 1013025261 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013025261
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
D0062265 (MD)
Practice address
251 E Antietam St
Hagerstown, MD 21740-5724
Phone
(301) 790-8804
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0062265MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Osler Inpatient Services Internal Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0062265 MD Yes

Addresses

Primary practice location

251 E Antietam St
Hagerstown, MD 21740-5724

Mailing address

1717 Main St
Suite 5200
Dallas, TX 75201-4612

Other providers in Hagerstown, MD

All providers in Hagerstown, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.