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
Phone: (313) 278-5836
Fax: (313) 278-5846
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326018748 | NPPES |
Michigan | MEDICAID | 4787887 |
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