Bozorg, Ali M.

Bozorg, Ali M. is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bozorg, Ali M. can be contacted via phone (813) 974-8577.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606-3603
Phone: (813) 974-8577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME101207 Florida

Profile Details

NPI number 1689861510
LBN Legal business name Bozorg, Ali M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Aug 31st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689861510 NPPES
Florida Other 145RT BLUE CROSS BLUE SHIELD
Florida MEDICAID 009141100 BLUE CROSS BLUE SHIELD

Popular Providers