Diba, Ali A

Diba, Ali A is an individual health care provider with primary practice located at 3201 S 16Th St 2015, Milwaukee WI 53215-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Diba, Ali A can be contacted via phone (414) 908-6500.

Contact Information

Primary practice address
3201 S 16Th St 2015 Milwaukee WI 53215-4537
Phone: (414) 908-6500
Fax: (414) 385-2980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20383-020 Wisconsin

Profile Details

NPI number 1528029899
LBN Legal business name Diba, Ali A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1528029899 NPPES
Wisconsin MEDICAID 30902300

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