Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alliance Telemed LLC

Organization Diagnostic Radiology Physician · NPI 1730489790

Alliance Telemed LLC is a Diagnostic Radiology Physician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 S Henderson St Ste 122
Bloomington, IN 47401-8439
Phone: (812) 320-7229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01056877 (IN)

Record details

NPI number1730489790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayman Ghoniem — Sole Member · (812) 320-7229
NPI enumeratedOctober 25, 2010
Last updated in NPPESNovember 25, 2012
Mailing address2600 S Henderson St, Suite 122, Bloomington, IN 47401-8439

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