Ali, Ahmad S

Ali, Ahmad S is an individual health care provider with primary practice located at 7240 Shadeland Station Suite 300, Indianapolis IN 46256-3944. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ali, Ahmad S can be contacted via phone (317) 621-6060.

Contact Information

Primary practice address
7240 Shadeland Station Suite 300 Indianapolis IN 46256-3944
Fax: (317) 355-6965
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003719A Indiana

Profile Details

NPI number 1861778607
LBN Legal business name Ali, Ahmad S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated Nov 7th, 2014 - about 10 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 1861778607 NPPES
Indiana Other M400058907 MEDICARE PIN TERMED
Indiana Other P01189201 MEDICARE PIN TERMED
Indiana MEDICAID 201039100 MEDICARE PIN TERMED

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