Provider Demographics
NPI:1902924020
Name:ALI E HAAS MD PA
Entity Type:Organization
Organization Name:ALI E HAAS MD PA
Other - Org Name:VENICE PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:EKREM
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-492-4775
Mailing Address - Street 1:836 SUNSET LAKE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-7555
Mailing Address - Country:US
Mailing Address - Phone:941-492-4775
Mailing Address - Fax:941-492-6650
Practice Address - Street 1:836 SUNSET LAKE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-7555
Practice Address - Country:US
Practice Address - Phone:941-492-4775
Practice Address - Fax:941-492-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty