Isfana J Ali, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Mandeville, LA
NPI 1154458248 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154458248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 013555 (LA)
- Practice address
- 900 Wilkinson St
Mandeville, LA 70448-3533 - Phone
- (985) 624-4450
- Fax
- (985) 624-4461
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013555 | LA | MD | Child & Adolescent Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 013555 | LA | Yes |
Addresses
Primary practice location
900 Wilkinson St
Mandeville, LA 70448-3533
Mailing address
4210 Vincennes PL
New Orleans, LA 70125-2745
Phone (504) 861-2805
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All providers in Mandeville, LA · Child & Adolescent Psychiatry Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.