Individual
DR. MIR I ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8075 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250-2693
(317) 621-8640
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101239608
VA
207RC0000X
Cardiovascular Disease Physician
01063192A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01063192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010273331
—
VA
01
—
196861
ANTHEM BCBS
VA
05
—
200858830A
—
IN
01
—
2147652
MAMSI
VA
05
—
5903821
—
NC
01
—
P00387869
MEDICARE RAILROAD
IN
01
—
P01512396
MEDICARE RAILROAD PTAN
IN
Enumeration date
06/29/2006
Last updated
02/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us