Bahadori, Ali
Bahadori, Ali is an sole proprietor health care provider with primary practice located at 111 Cypress St , Brookline MA 02445-6002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bahadori, Ali can be contacted via phone (617) 582-1253.Contact Information
Primary practice address
111 Cypress St
Brookline MA 02445-6002
Phone: (617) 582-1253
Fax: (617) 582-1197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD068226L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 234278 | Massachusetts |
Profile Details
| NPI number | 1376592584 |
|---|---|
| LBN Legal business name | Bahadori, Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 19th, 2008 - about 16 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 | 1376592584 | NPPES |
| Pennsylvania | MEDICAID | 0017453190001 |
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