Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | 160104 | MA |
Y | 2080P0216X | Pediatric Rheumatologist | MD11082 | RI |
NPI | 1750337796 |
---|---|
Provider Name | Ali Yalcindag |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 25/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7009776 | (05) | RI |
H83703 | (02) | RI |