Afshang, Gholamali

Afshang, Gholamali is an individual health care provider with primary practice located at 3249 Oak Park Ave Metropolitan Advanced Radiology, Berwyn IL 60402-3429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Afshang, Gholamali can be contacted via phone (708) 783-2696.

Contact Information

Primary practice address
3249 Oak Park Ave Metropolitan Advanced Radiology Berwyn IL 60402-3429
Phone: (708) 783-2696
Fax: (708) 783-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Illinois

Profile Details

NPI number 1316925522
LBN Legal business name Afshang, Gholamali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316925522 NPPES
Illinois Other P00365615 RR MEDICARE
Illinois MEDICAID 36060114 RR MEDICARE
Illinois Other 01615363 RR MEDICARE

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