Provider Demographics
NPI:1457856882
Name:SLAMAT ALI, MD, PC
Entity Type:Organization
Organization Name:SLAMAT ALI, MD, PC
Other - Org Name:BAKERSFIELD KIDNEY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SLAMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-527-9001
Mailing Address - Street 1:8605 CAMINO MEDIA STE 300
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1361
Mailing Address - Country:US
Mailing Address - Phone:661-527-9001
Mailing Address - Fax:661-527-9002
Practice Address - Street 1:8605 CAMINO MEDIA STE 300
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1361
Practice Address - Country:US
Practice Address - Phone:661-527-9001
Practice Address - Fax:661-527-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2019-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC145592207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty