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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOMINIQUE M BUTAWAN-ALI, MD

Active

DR. DOMINIQUE M BUTAWAN-ALI, MD is a Obstetrics & Gynecology healthcare provider located in MEMPHIS, Tennessee. NPI 1417121013 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · MEMPHIS, TN

Registration Details

NPI Number
1417121013
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2008 (18.347278502453 yrs)
Last Updated
Oct 16, 2025
Licenses
E-8519 (AR)
54889 (TN)
201200884 (NC)

Practice Information

Address
6215 HUMPHREYS BLVD STE 100
MID SOUTH OB-GYN PLLC
MEMPHIS, TN, 38120
Browse TN providers · Browse ZIP 38120
Phone
9017471200
Fax
9017471220
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in MEMPHIS, TN

Name Credential NPI
DR. JUDI LYNN CARNEY M.D. 1417953811
DR. PAUL DAVID NEBLETT M.D. 1679579072
MICHAEL LEE STACK M.D. 1316943301
STEPHEN RANDOLPH RAULS M.D. 1346248671
JOHN L AUSTIN M.D. 1508864737
REGINA G. HEALY M.D. 1508865809
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.