Baltaji, Ali

Baltaji, Ali is an individual health care provider with primary practice located at 720 2Nd Ave Ste 203 , Bowling Green KY 42101-1778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Baltaji, Ali can be contacted via phone (270) 843-5114.

Contact Information

Primary practice address
720 2Nd Ave Ste 203 Bowling Green KY 42101-1778
Phone: (270) 843-5114
Fax: (270) 745-1230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125074501 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 59321 Kentucky

Profile Details

NPI number 1912559691
LBN Legal business name Baltaji, Ali
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2019
Last updated Jun 25th, 2024 - about 2 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 1912559691 NPPES
Kentucky MEDICAID 7100981060

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