| Nishat Fatima Ally, MD | |
|
1201 Michigan Ave Ste 330, Logansport, IN 46947-1570 | |
| (703) 346-3787 | |
| Not Available |
| Full Name | Nishat Fatima Ally |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1201 Michigan Ave Ste 330, Logansport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699934893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01084938BA (Indiana) | Primary |
| 208000000X | Pediatrics | D73171 (Maryland) | Secondary |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Nishat Fatima Ally, MD 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: () - | Nishat Fatima Ally, MD 1201 Michigan Ave Ste 330, Logansport, IN 46947-1570 Ph: (703) 346-3787 |
Namita Sahgal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Ave, Ste 330, Logansport, IN 46947 Phone: 574-753-4151 Fax: 574-722-1560 | |
Craig Pawlowski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541 | |
Zhengyi Wang, Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Michigan Ave Ste 330, Logansport, IN 46947 Phone: 574-753-4151 |