Muhammad Ali, SA-C
Individual provider Active NPI Surgical Assistant · Shakopee, MN
NPI 1497404669 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1497404669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 238.000522 (IL)
- Practice address
- 1720 Countryside Dr
Muhammad Ali
Shakopee, MN 55379-5537 - Phone
- (845) 901-5326
- NPI assigned
- Mar 23, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000522 | IL | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.000522 | IL | Yes |
Addresses
Primary practice location
1720 Countryside Dr
Muhammad Ali
Shakopee, MN 55379-5537
Mailing address
1720 Countryside Dr
Muhammad Ali
Shakopee, MN 55379
Phone (845) 901-5326
Other providers in Shakopee, MN
- Durresamin Akhtar
- Alicia Marie Aldrich
- Lea Marie Alexander
- Ahmed Ali
- Hani Mohamed Ali
- Nastaho Mohamed Ali
- All Eyes PLLC
- Susan M Allen
- Allina Health System
- Allina Health System
All providers in Shakopee, MN · Surgical Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. 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.