Chahlavi, Ali
Chahlavi, Ali is an individual health care provider with primary practice located at 4205 Belfort Rd Joe Adams Building Suite 1100, Jacksonville FL 32216-5876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Chahlavi, Ali can be contacted via phone (904) 296-3103.Contact Information
Primary practice address
4205 Belfort Rd Joe Adams Building Suite 1100
Jacksonville FL 32216-5876
Phone: (904) 296-3103
Fax: (904) 296-3106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME95578 | Florida |
Profile Details
NPI number | 1336198209 |
---|---|
LBN Legal business name | Chahlavi, Ali |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2006 |
Last updated | May 28th, 2014 - about 11 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 | 1336198209 | NPPES |
Florida | Other | ME95578 | MEDICAL LICENSE |
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