Dowlatdad, Ali

Dowlatdad, Ali is an sole proprietor health care provider with primary practice located at 2055 Exchange St Suite 270, Astoria OR 97103-3419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dowlatdad, Ali can be contacted via phone (503) 325-9597.

Contact Information

Primary practice address
2055 Exchange St Suite 270 Astoria OR 97103-3419
Fax: (503) 325-9639
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD14231 Oregon

Profile Details

NPI number 1073596748
LBN Legal business name Dowlatdad, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2005
Last updated Oct 17th, 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 1073596748 NPPES
Oregon MEDICAID 106252

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