Bouallali, Hind

Bouallali, Hind is an sole proprietor health care provider with primary practice located at 20745 Williamsport Pl Ste 340 , Ashburn VA 20147-6520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bouallali, Hind can be contacted via phone (917) 664-1143.

Contact Information

Primary practice address
20745 Williamsport Pl Ste 340 Ashburn VA 20147-6520
Phone: (917) 664-1143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 262731 New York
Ambulatory Health Care Facilities / Primary Care 261QP2300X 262731 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101265045 Virginia

Profile Details

NPI number 1427225788
LBN Legal business name Bouallali, Hind
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated Jul 21st, 2022 - about 2 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 1427225788 NPPES
New York MEDICAID 03127837

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