Bali, Ahmad

Bali, Ahmad is an individual health care provider with primary practice located at 401 Division St Suite 202, South Charleston WV 25309-1455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bali, Ahmad can be contacted via phone (304) 767-7800.

Contact Information

Primary practice address
401 Division St Suite 202 South Charleston WV 25309-1455
Phone: (304) 767-7800
Fax: (304) 767-7805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21044 West Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 21044 West Virginia

Profile Details

NPI number 1689670069
LBN Legal business name Bali, Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 14th, 2007 - about 17 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 1689670069 NPPES
West Virginia MEDICAID 1812616001
West Virginia MEDICAID 2535813
West Virginia MEDICAID 64058845

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