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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518386093 | NPPES |
| Other | 1518386093 | NPI | |
| Other | 62073 | NPI |
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