Provider Demographics
NPI:1922859164
Name:DAWUDA, ALI SABIOR (MD)
Entity type:Individual
Prefix:
First Name:ALI SABIOR
Middle Name:
Last Name:DAWUDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DATES DR, ITHACA CAYUGA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-274-4011
Mailing Address - Fax:607-257-4318
Practice Address - Street 1:101 DATES DR
Practice Address - Street 2:40 CATHERWOOD RD
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-339-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-11-12
Deactivation Date:2024-10-28
Deactivation Code:
Reactivation Date:2024-11-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program