Bahadori, Ali

Bahadori, Ali is an sole proprietor health care provider with primary practice located at 111 Cypress St , Brookline MA 02445-6002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bahadori, Ali can be contacted via phone (617) 582-1253.

Contact Information

Primary practice address
111 Cypress St Brookline MA 02445-6002
Phone: (617) 582-1253
Fax: (617) 582-1197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD068226L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234278 Massachusetts

Profile Details

NPI number 1376592584
LBN Legal business name Bahadori, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Feb 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376592584 NPPES
Pennsylvania MEDICAID 0017453190001

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