Provider Demographics
NPI:1982709903
Name:ALI, SAYED ASAD (MD)
Entity Type:Individual
Prefix:
First Name:SAYED
Middle Name:ASAD
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 1:3130 N COUNTY ROAD 25A
Mailing Address - Street 2:PHYSICIANS OFFICE BLDING #101
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-1337
Mailing Address - Country:US
Mailing Address - Phone:937-335-9633
Mailing Address - Fax:937-335-9464
Practice Address - Street 1:3130 N COUNTY ROAD 25A
Practice Address - Street 2:PHYSICIANS OFFICE BLDING #101
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-1337
Practice Address - Country:US
Practice Address - Phone:937-335-9633
Practice Address - Fax:937-335-9464
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.085138207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology