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 1:11219 LOCKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4550
Mailing Address - Country:US
Mailing Address - Phone:301-557-9638
Mailing Address - Fax:301-557-9642
Practice Address - Street 1:11219 LOCKWOOD DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4550
Practice Address - Country:US
Practice Address - Phone:301-557-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00639452084A0401X, 2084P0802X, 2084P0804X, 2084P0800X
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
1575125OtherAETNA
600055950OtherMAGELLAN
MD412396401Medicaid
MD100110167OtherAPS HEALTHCARE
270529OtherKAISER PERMANENTE
DC7265OtherBS NCA
2175206OtherUNITED BEHAVIORAL HEALTH
2175206OtherMAMSI/MDIPA
MD412396400Medicaid
2328877OtherCIGNA
MD30PRSAOtherBS MD
NY584261OtherVALUE OPTIONS
NY584261OtherVALUE OPTIONS