MEDICARE: SYED ASIF H ALI 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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	D0063945	MD
2	2084P0802X	Addiction Psychiatry Physician	D0063945	MD
3	2084P0804X	Child & Adolescent Psychiatry Physician	D0063945	MD
4	2084P0800X	Psychiatry Physician	D0063945	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1575125	OTHER		AETNA
2	600055950	OTHER		MAGELLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	100110167	OTHER	MD	APS HEALTHCARE
5	270529	OTHER		KAISER PERMANENTE
6	7265	OTHER	DC	BS NCA
7	2175206	OTHER		UNITED BEHAVIORAL HEALTH
8	2175206	OTHER		MAMSI/MDIPA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	2328877	OTHER		CIGNA
11	30PRSA	OTHER	MD	BS MD
12	584261	OTHER	NY	VALUE OPTIONS

General Provider Information

NPI Number	:	1831284769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED ASIF H ALI M.D.

Provider Business Mailing Address
First Line	:	11219 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4550
Country	:	US
Telephone Number	:	301-557-9638
Fax Number	:	301-557-9642

Provider Business Practice Location Address
First Line	:	11219 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4550
Country	:	US
Telephone Number	:	301-557-9638
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	09/27/2024

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1831259902 — DR. CHITRA R CHARI M.D
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1992984520 — MS. ANA MILENA OLACIREGUI LCPC
Practice Location Address:

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1225202435 — ANDRES C. OLACIREGUI, M.D., INC.
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