Individual
GHOLAM HOSSAIN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5152
(504) 988-4237
Mailing address
1430 TULANE AVE, SL-48, NEW ORLEANS, LA 70112-2632
(504) 988-5152
(504) 988-4237
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14879R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145274
—
LA
Enumeration date
09/01/2006
Last updated
01/20/2012
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