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
Fax: (812) 949-2229
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356337372 NPPES
Indiana MEDICAID 200193210A
Indiana Other 351708493

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