Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rehan Ali, MD

Individual provider Diagnostic Radiology Physician · NPI 1770080889

Rehan Ali, MD is a Diagnostic Radiology in Staten Island, New York. Qualified in 2013, 13 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-8855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 St. Antoine, Detroit, MI 48201 — (313) 745-3430

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4351045462 (MI)

Record details

NPI number1770080889
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2018
Last updated in NPPESMay 24, 2019
Mailing address475 Seaview Ave, Staten Island, NY 10305-3436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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