Ali, Syed Ibrahim
Ali, Syed Ibrahim is an individual health care provider with primary practice located at 1007 Lincolnway , La Porte IN 46350-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ali, Syed Ibrahim can be contacted via phone (219) 326-2305.Contact Information
Primary practice address
1007 Lincolnway
La Porte IN 46350-2301
Phone: (219) 326-2305
Fax: (219) 326-2605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01067305A | Indiana |
Profile Details
| NPI number | 1700021037 |
|---|---|
| LBN Legal business name | Ali, Syed Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2008 |
| Last updated | Mar 20th, 2013 - about 12 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 | 1700021037 | NPPES |
| Indiana | MEDICAID | 200965590 |
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