Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | ME132230 | FL |
Y | 207KA0200X | Allergist | ME132230 | FL |
N | 207RA0201X | Internist - Allergy & Immunology | ME132230 | FL |
NPI | 1972879229 |
---|---|
Provider Name | Dr. Aishah Ali |
First Address | Orlando, FL 32817-1492 |
Second Address | Orlando, FL 32827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 15/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021153400 | (05) | FL |