Individual
DR. SYED IBRAHIM ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-2301
(219) 326-2305
(219) 326-2605
Mailing address
1007 LINCOLNWAY, LA PORTE, IN 46350-2301
(219) 326-2305
(219) 326-2605
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01067305A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200965590
—
IN
Enumeration date
12/16/2008
Last updated
03/20/2013
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