Individual
ALI BALTAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125074501
IL
207RN0300X
Nephrology Physician
Primary
59321
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100981060
—
KY
Enumeration date
07/12/2019
Last updated
06/25/2024
Update your record
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