Individual
ALI SULEIMAN ELFANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-3533
(413) 794-0000
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09840100
NJ
207RC0000X
Cardiovascular Disease Physician
277788
MA
207RC0000X
Cardiovascular Disease Physician
54148
KY
207RC0000X
Cardiovascular Disease Physician
TP093
KY
207RI0011X
Interventional Cardiology Physician
Primary
54148
KY
207RI0011X
Interventional Cardiology Physician
TP093
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
08/05/2020
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