NPI 1275876120 · live from the CMS NPI Registry
Kasim M Ali, MD
Radiology, Diagnostic Radiology in New Haven, CT. National Provider Identifier 1275876120, active.
NPI record
| NPI | 1275876120 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-737-4695 |
| Mailing address | 200 Waterford Dr, Willowbrook, IL 60527 |
| Enumerated | March 28, 2013 |
| Last updated | June 19, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 036140613 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.