OrganizationActive
Alliance Telemed LLC
NPI 1730489790 · Diagnostic Radiology Physician · Bloomington, IN
Provider details
- NPI number
- 1730489790
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ayman Ghoniem, Sole Member(812) 320-7229
- License
- 01056877 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 S Henderson St
Suite 122
Bloomington, IN 47401-8439
Phone: (812) 320-7229
Street-level locationGet directions
Mailing address
2600 S Henderson St
Bloomington, IN 47401-8439
Registry dates
- Enumerated
- 2010-10-25
- Last updated
- 2012-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.