DR. MUBDIUL IMTIAZ ALI (NPI# 1548528565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548528565 |
| Entity Type | Individual |
| Full Name | DR. MUBDIUL IMTIAZ ALI |
| Credential | M.D. |
| Practice Address |
300 Cedar St # S425 New Haven CT 06519-1612 |
| Mailing Address |
1250 E Marshall St Pob 980050 Richmond VA 23298-0050 |
| Practice Telephone | 2037853207 |
| Mailing Telephone | 9739724300 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
62410 | CT | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
62410 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
300 CEDAR ST # S425 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174977938 | Alexander Robert Ghincea | Student in an Organized Health Care Education/Training Program | 300 Cedar St # S425, New Haven, CT 06519-1612 | 2016-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1417189218 | Astha Chichra | Internal Medicine | 789 Howard Ave Bldg 2nd, New Haven, CT 06519-1304 | 2009-08-13 |
| 1134350002 | Denyse Dawn Lutchmansingh | Internal Medicine | 20 York St # Fb-209, New Haven, CT 06510-3220 | 2009-07-27 |
| 1013191949 | Maor Sauler | Internal Medicine | 785 Howard Ave, New Haven, CT 06519-1612 | 2007-12-27 |
| 1619151503 | Seppo Tapani Rinne | Internal Medicine | 313 Saint John St, 2nd Floor, Left Side, New Haven, CT 06511-4975 | 2007-12-27 |
| 1215909072 | Jonathan Thomas Puchalski | Internal Medicine | 330 Cedar St, Boardman Building Rm 205, New Haven, CT 06510-3218 | 2006-02-06 |
| 1275535015 | Janet Hilbert | Internal Medicine | 15 York St, Yale University, Internal Medicine, PCcsm, New Haven, CT 06510-3221 | 2005-08-11 |
| 1043699689 | Catherine Gao | Internal Medicine | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2015-05-28 |
| 1447695457 | Isabel Sofia Bazan | Internal Medicine | 789 Howard Ave, New Haven, CT 06519 | 2013-05-03 |
| 1154677995 | Vrinda Trivedi | Internal Medicine | 20 York St, Ynhh Sleep Medicine, New Haven, CT 06510 | 2012-07-30 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.