Ali, Fathi Idris
Ali, Fathi Idris is an individual health care provider with primary practice located at 1220 Trotwood Ave Suite 401, Columbia TN 38401-6433. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ali, Fathi Idris can be contacted via phone (931) 388-8622.Contact Information
Primary practice address
1220 Trotwood Ave Suite 401
Columbia TN 38401-6433
Phone: (931) 388-8622
Fax: (931) 381-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 44108 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 44108 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44108 | Tennessee |
Profile Details
| NPI number | 1811905409 |
|---|---|
| LBN Legal business name | Ali, Fathi Idris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jan 7th, 2022 - about 3 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 | 1811905409 | NPPES |
| Tennessee | Other | 4204226 | BCBST |
| Tennessee | MEDICAID | 3379860 | BCBST |
| Tennessee | MEDICAID | 1509829 | BCBST |
| Tennessee | Other | 06CBBCG | BCBST |
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