Ali, Fathelrahman Omer

Ali, Fathelrahman Omer is an sole proprietor health care provider with primary practice located at 2040 Monroe St Suite # 207, Dearborn MI 48124-2950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ali, Fathelrahman Omer can be contacted via phone (313) 278-5836.

Contact Information

Primary practice address
2040 Monroe St Suite # 207 Dearborn MI 48124-2950
Fax: (313) 278-5846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301075097 Michigan

Profile Details

NPI number 1326018748
LBN Legal business name Ali, Fathelrahman Omer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Sep 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326018748 NPPES
Michigan MEDICAID 4787887

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