Provider Demographics
NPI:1487618773
Name:IPAKCHI, ALI (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:IPAKCHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7331 HANOVER PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3621
Mailing Address - Country:US
Mailing Address - Phone:301-345-0605
Mailing Address - Fax:301-345-0606
Practice Address - Street 1:7331 HANOVER PKWY
Practice Address - Street 2:STE B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-345-0605
Practice Address - Fax:301-345-0606
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0054718207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LX76CEOtherBSMD
F4550001OtherBSDC
MD00A613C73OtherMEDICARE
61020607OtherBSMD
MD863003800Medicaid
MD00A613C73OtherMEDICARE
MD863003800Medicaid