Provider Demographics
NPI:1831284769
Name:ALI, SYED ASIF H (MD)
Entity Type:Individual
Prefix:
First Name:SYED ASIF
Middle Name:H
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3927 FERRARA DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4709
Mailing Address - Country:US
Mailing Address - Phone:240-328-2657
Mailing Address - Fax:
Practice Address - Street 1:13102 AUTUMN DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3307
Practice Address - Country:US
Practice Address - Phone:240-328-2657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00639452084A0401X, 2084P0800X, 2084P0802X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
600055950OtherMAGELLAN
MD100110167OtherAPS HEALTHCARE
1575125OtherAETNA
270529OtherKAISER PERMANENTE
MD412396400Medicaid
2175206OtherUNITED BEHAVIORAL HEALTH
2328877OtherCIGNA
MD412396401Medicaid
NY584261OtherVALUE OPTIONS
MD30PRSAOtherBS MD
2175206OtherMAMSI/MDIPA
DC7265OtherBS NCA
NY584261OtherVALUE OPTIONS