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1700021037
SYED IBRAHIM ALI
LA PORTE, IN
NPI
1700021037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: IN 01067305A)
Enumeration Date
2008-12-16
Last Update Date
2013-03-20
Business Address
DR. SYED IBRAHIM ALI M.D
1007 LINCOLNWAY
LA PORTE, IN 46350-2301
Phone number: 219-326-2305
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Mailing Address
DR. SYED IBRAHIM ALI M.D
1007 LINCOLNWAY
LA PORTE, IN 46350-2301
Phone number: 219-326-2305
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