MEDICARE: DR. ALI M DOHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	1041563A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558457432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI M DOHAN M.D.

Provider Business Mailing Address
First Line	:	1250 E COUNTY LINE ROAD
Second Line	:	SUITE 8
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-0989
Country	:	US
Telephone Number	:	317-602-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 E COUNTY LINE ROAD
Second Line	:	SUITE 8
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-0989
Country	:	US
Telephone Number	:	317-602-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/02/2016

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