Ali, Raza

Ali, Raza is an individual health care provider with primary practice located at 234 E Gray St Suite 858, Louisville KY 40202-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ali, Raza can be contacted via phone (502) 583-1799.

Contact Information

Primary practice address
234 E Gray St Suite 858 Louisville KY 40202-1900
Phone: (502) 583-1799
Fax: (502) 583-1792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42311 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01066017A Indiana

Profile Details

NPI number 1619933074
LBN Legal business name Ali, Raza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 15th, 2012 - about 13 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 1619933074 NPPES
Kentucky Other 50022057 PASSPORT HEALTH PLAN/MEDICAID KY
Kentucky Other 000000592485 PASSPORT HEALTH PLAN/MEDICAID KY
Kentucky Other 3691858000 PASSPORT HEALTH PLAN/MEDICAID KY
Kentucky MEDICAID 200928550A PASSPORT HEALTH PLAN/MEDICAID KY

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