Organization Name: | AHSEN ALI MD PSC |
NPI Number: | 1801130596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEGAN N DANIELS (PA) |
Mailing Address: | 160 Hospital Dr South Williamson |
State: | KY US |
Postal Code: | 415034071 |
Phone Number: | 6062374800 |
Fax Number: | 6062374803 |
NPI Enumeration Date: | 11/19/2012 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | TC164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |