ALI A AL-MUDAMGHA


Address: 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800
Phone: 3154486215

ALI A AL-MUDAMGHA (NPI# 1144216649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144216649
Entity Type Individual
Full Name ALI A AL-MUDAMGHA
Credential MD
Practice Address 4820 W Taft Rd
Suite 209
Liverpool
NY 13088-2800
Practice Telephone 3154486215
Practice Fax Number 3152344416
Mailing Telephone 3154486215
Mailing Fax Number 3152344416
Enumeration Date 2005-09-21
Last Update Date 2008-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
187031 NY Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
187031 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01742805 05

Office Location

Street Address 4820 W TAFT RD
SUITE 209
City LIVERPOOL
State NY
Zip Code 13088-2800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730175241 Alessandro Giambartolomei Internal Medicine 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 2005-09-21
1053853283 Amy Cambareri Psychologist 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 2016-11-04
1114399599 Elizabeth Marie Carrigan Nurse Practitioner 4820 W Taft Rd, Suite 201, Liverpool, NY 13088-2800 2015-10-26
1235552639 Paul Fallon Dentist 4820 W Taft Rd, Liverpool, NY 13088-2800 2014-01-22
1801183801 Daniel Francis Morris Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2011-06-29
1295048130 Amy D Scullion Nurse Practitioner 4820 W Taft Rd, Liverpool, NY 13088-2800 2010-07-21
1720258205 Endodontic Specialists, PC Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2008-03-11
1720257033 Leo A Massaro Dentist 4820 W Taft Rd, Suite 102, Liverpool, NY 13088-2800 2008-02-21
1104039742 Hooman Ranjbaran-jahromi Internal Medicine 4820 W Taft Rd, #209, Liverpool, NY 13088-2800 2007-05-08
1992926257 Paul Casey Fallon Dentist 4820 W Taft Rd, Liverpool, NY 13088-2800 2007-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878966 Anthony Edward Blumetti Psychologist 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 2019-12-12
1609350016 Alice Nellenbach Physical Therapy Assistant 346 Electronics Pkwy, Liverpool, NY 13088 2018-09-20
1043741457 Dawn Marie Thomas Licensed Practical Nurse 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 2017-03-27
1154775633 Arielle L Leonard Massage Therapist 609 7th N. Street, Suite 2, Liverpool, NY 13088 2016-04-20
1942664362 Accessibility Solutions, Inc. Contractor 115 Luther Avenue, Liverpool, NY 13088 2016-04-12
1497176333 Sergey Golovko Psychiatry & Neurology 125 Sun Harbor Dr, Liverpool, NY 13088 2013-12-19
1205275286 Brandon William Crandall Nurse Practitioner 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 2013-06-23
1184976805 Audrey Irene Tyszka Social Worker 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 2012-10-04
1790049096 Kelley Beth Burt Speech-Language Pathologist 110 Elwood Davis Road, Liverpool, NY 13088 2012-07-02
1811288954 Nedim Ruhotina Urology 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 2011-04-24
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699761197 S J H Cardiac Catheterization Associates PC Internal Medicine 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 2005-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538426242 Robert Justin Knotts Internal Medicine 403 E 34th St Fl 4, New York, NY 10016-4907 2012-04-19
1942509260 Rajat Goyal Internal Medicine 129 Melanie Dr, East Meadow, NY 11554 2011-03-25
1679881577 Mount Sinai School of Medicine of New York University Internal Medicine 210 E 86th St Rm 502, New York, NY 10028-7725 2010-09-14
1275793580 Abhijeet Singh Internal Medicine Suny Stonybrook University Hospital 101 Nicolls Rod, Stony Brook, NY 11794-0001 2008-06-10
1073639399 Cardiac Rhythm Consultants, PC Internal Medicine 141 Washington Ave Ste 203, Lawrence, NY 11559-1669 2007-03-21
1003975632 Saverio J Barbera Internal Medicine Health Science Center Nicolls Road, T-16-080, Stony Brook, NY 11794-0001 2006-12-08
1699868836 Tbhc Ecg Med Services PC Internal Medicine Tbhc Med Services PC, 121 Dekalb Avenue, Brooklyn, NY 11201 2006-10-02
1235174053 Arti N Shah Internal Medicine 30 West 60th Street, Suite 1u, New York, NY 10023-7906 2006-06-17
1225099419 John Jun Cai Internal Medicine 515 Abbott Rd Ste 310, Buffalo, NY 14220-1700 2006-03-29
1891775201 Michael Wilson Internal Medicine 9095 Main St, Clarence, NY 14031-1967 2006-01-20
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Competitor

Search similar providers

City LIVERPOOL
Zip Code 13088

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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