Provider Demographics
NPI:1578787339
Name:ALI, SYED SOHAIL (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:SOHAIL
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2409 CHERRY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2625
Mailing Address - Country:US
Mailing Address - Phone:419-251-3711
Mailing Address - Fax:419-251-6827
Practice Address - Street 1:2409 CHERRY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2625
Practice Address - Country:US
Practice Address - Phone:419-251-3711
Practice Address - Fax:419-251-6827
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2012-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-096677207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3158845Medicaid
OH$$$$$$$$$-00OtherBUREAU OF WORKER COMP
OH3158845Medicaid