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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1336198209 NPPES
Florida Other ME95578 MEDICAL LICENSE

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