Ali, Maryyam

Ali, Maryyam is an individual health care provider with primary practice located at 1997 Sloan Pl Ste 17 , Maplewood MN 55117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Ali, Maryyam can be contacted via phone (651) 772-6251.

Contact Information

Primary practice address
1997 Sloan Pl Ste 17 Maplewood MN 55117
Phone: (651) 772-6251
Fax: (651) 224-9661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT205639 Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 62073 Minnesota

Profile Details

NPI number 1518386093
LBN Legal business name Ali, Maryyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Oct 8th, 2019 - about 6 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 1518386093 NPPES
Other 1518386093 NPI
Other 62073 NPI

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