Ali, Talib Y

Ali, Talib Y is an individual health care provider with primary practice located at 4881 Sugar Maple Dr , Wright Patterson Afb OH 45433-5529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Ali, Talib Y can be contacted via phone (937) 257-9612.

Contact Information

Primary practice address
4881 Sugar Maple Dr Wright Patterson Afb OH 45433-5529
Phone: (937) 257-9612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 36101168 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36101168 Illinois

Profile Details

NPI number 1801900808
LBN Legal business name Ali, Talib Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Sep 8th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801900808 NPPES
Illinois Other 36101168 ILLINOIS STATE LICENSE

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