Khodabandeh, Ali
Khodabandeh, Ali is an individual health care provider with primary practice located at 100 Hospital Road Ste. 2A, Leominster MA 01453. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Khodabandeh, Ali can be contacted via phone (617) 522-8110.Contact Information
Primary practice address
100 Hospital Road Ste. 2A
Leominster MA 01453
Phone: (617) 522-8110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 231041 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 242004. | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 242004. | Massachusetts |
Profile Details
| NPI number | 1841485695 |
|---|---|
| LBN Legal business name | Khodabandeh, Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Feb 12th, 2013 - about 13 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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