Provider Demographics
NPI:1063464261
Name:ALI, AURANGZEB A (MD)
Entity Type:Individual
Prefix:DR
First Name:AURANGZEB
Middle Name:A
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:455 LEWIS AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2121
Mailing Address - Country:US
Mailing Address - Phone:203-634-0134
Mailing Address - Fax:203-630-3961
Practice Address - Street 1:455 LEWIS AVE
Practice Address - Street 2:SUITE 216
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2121
Practice Address - Country:US
Practice Address - Phone:203-634-0134
Practice Address - Fax:203-630-3961
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT036751208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT061111052OtherCHN NORTHEAST HLTH DIRECT
CT711110OtherCONNECTICARE
CTOR4583OtherHEALTHNET
CT174013OtherUNITED HEALTHCARE CT
CT5089727OtherAETNA
CT010036751CT01OtherBCBS CT
CT020001394OtherMEDICARE
CT061111052OtherHEALTHCHOICE OF CONNETICU
CT061111052OtherGREAT WEST HEALTHCARE
CT061111052OtherHMC PPO NRTHEAST HLTHCARE
CT1367516Medicaid
CTP981715OtherOXFORD
CT174013OtherUNITED HEALTHCARE CT