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Contact Information

MIR I ALI, MD
8075 N SHADELAND AVE
STE 200
INDIANAPOLIS, IN46250-2693
 Phone: 317-621-8640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIR I ALI · (Male)

NPI Number 1568490670
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 02/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01063192A
  • VA License # 0101239608
  • IN Medicaid 200858830A
  • NC Medicaid 5903821
  • VA Medicaid 010273331
  • IN Other P00387869 MEDICARE RAILROAD
  • IN Other P01512396 MEDICARE RAILROAD PTAN
  • VA Other 196861 ANTHEM BCBS
  • VA Other 2147652 MAMSI
Hospital affiliation(s)
  • COMMUNITY HOSPITAL EAST - (Acute Care)
    1500 N RITTER AVE
    INDIANAPOLIS, IN 46219
  • COMMUNITY HOSPITAL NORTH - (Acute Care)
    7150 CLEARVISTA DR
    INDIANAPOLIS, IN 46256
  • COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY - (Acute Care)
    1515 N MADISON AVE
    ANDERSON, IN 46011
  • INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL - (Acute Care)
    2401 UNIVERSITY AVE
    MUNCIE, IN 47303
  • WILLIAM N WISHARD MEMORIAL HOSPITAL - (Acute Care)
    720 ESKENAZI AVENUE
    INDIANAPOLIS, IN 46254
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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