Rezaei, Laleh
Rezaei, Laleh is an individual health care provider with primary practice located at 1425 State St Suite 100, New Albany IN 47150-4909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rezaei, Laleh can be contacted via phone (812) 945-2229.Contact Information
Primary practice address
1425 State St Suite 100
New Albany IN 47150-4909
Phone: (812) 945-2229
Fax: (812) 949-2229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01048835A | Indiana |
Profile Details
| NPI number | 1356337372 |
|---|---|
| LBN Legal business name | Rezaei, Laleh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356337372 | NPPES |
| Indiana | MEDICAID | 200193210A | |
| Indiana | Other | 351708493 |
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