Basic Information
| Provider Information | |||||||||
| NPI: | 1164891826 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALI EMAMI ASSOCIATES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68 INDIAN WOODS WAY | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020213581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179641447 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 HIGHLAND ST STE 209 | ||||||||
| Address2: | |||||||||
| City: | MILTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021863802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176960302 | ||||||||
| FaxNumber: | 6176986918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2015 | ||||||||
| LastUpdateDate: | 09/23/2015 | ||||||||
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| AuthorizedOfficialLastName: | EMAMI | ||||||||
| AuthorizedOfficialFirstName: | ALI | ||||||||
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| AuthorizedOfficialTitleorPosition: | SOLE PROPRIETOR | ||||||||
| AuthorizedOfficialTelephone: | 8008415200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | MA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.