| David S Ali, | |
|
4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 | |
| (407) 332-7700 | |
| (407) 332-9749 |
| Full Name | David S Ali |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 4106 W Lake Mary Blvd Ste 215, Lake Mary, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992200984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | D96925 (Maryland) | Secondary |
| 208800000X | Urology | ME175272 (Florida) | Primary |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992520795 PECOS PAC ID: 4789673393 Enrollment ID: O20040510000449 |
| Mailing Address | Practice Location Address |
|---|---|
| David S Ali, 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 Ph: (407) 332-7700 | David S Ali, 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 Ph: (407) 332-7700 |
Dr. Marvin Jason Young, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1071 S Sun Dr, Suite 1003, Lake Mary, FL 32746 Phone: 407-302-2620 Fax: 407-302-2690 | |
Charles N Witten, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 321-275-0339 | |
Dr. Michael D Friedman, MD Urology Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 321-275-0344 | |
Ravindra R Jahagirdar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 N 8th St, Lake Mary, FL 32746 Phone: 407-330-1100 Fax: 407-321-8820 |