Provider Demographics
NPI:1669797627
Name:ALI, AMMAR HASSAN (MD)
Entity type:Individual
Prefix:DR
First Name:AMMAR
Middle Name:HASSAN
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7742 SCHAEFFER ROAD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1159
Mailing Address - Country:US
Mailing Address - Phone:313-473-9669
Mailing Address - Fax:313-455-5025
Practice Address - Street 1:7742 SCHAEFFER ROAD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1159
Practice Address - Country:US
Practice Address - Phone:313-473-9669
Practice Address - Fax:313-455-5025
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD101702084P0800X
MN558482084P0800X
MI43011092212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry