Ali Ahmad, M.D.
Individual provider Active NPI Neurology Physician · Tupelo, MS
NPI 1427583293 · NPPES record last updated Aug 25, 2024
Key facts
- NPI
- 1427583293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 33406 (MS)
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4996 - Phone
- (662) 377-3000
- NPI assigned
- Apr 28, 2017
- Reactivated
- Jan 10, 2018
- 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)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33406 | MS | MD | Neurocritical Care Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 33406 | MS | |
| Clinical Neurophysiology Physician | 2084N0600X | 33406 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 33406 | MS | Yes |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4996
Mailing address
830 S Gloster St
Tupelo, MS 38801-4996
Phone (662) 377-3000
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All providers in Tupelo, MS · Neurology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.