Ahmadi, Ali
Ahmadi, Ali is an sole proprietor health care provider with primary practice located at 3902 Northside Dr Suite A4, Macon GA 31210-2459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ahmadi, Ali can be contacted via phone (478) 474-8774.Contact Information
Primary practice address
3902 Northside Dr Suite A4
Macon GA 31210-2459
Phone: (478) 474-8774
Fax: (478) 474-8734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 46824 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 046824 | Georgia |
Profile Details
| NPI number | 1407993157 |
|---|---|
| LBN Legal business name | Ahmadi, Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Oct 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407993157 | NPPES |
| Georgia | MEDICAID | 00832378C |
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