Ajani, Abdallah Al
Ajani, Abdallah Al is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ajani, Abdallah Al can be contacted via phone (508) 421-1400.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 421-1400
Fax: (508) 421-1490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301103569 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | S0136 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 283682 | Massachusetts |
Profile Details
| NPI number | 1083057483 |
|---|---|
| LBN Legal business name | Ajani, Abdallah Al |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2013 |
| Last updated | Dec 16th, 2020 - about 4 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 | 1083057483 | NPPES |
| Massachusetts | MEDICAID | 110164925A |
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