Ali, Osama

Ali, Osama is an sole proprietor health care provider with primary practice located at 701 W Plymouth Ave , Deland FL 32720-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ali, Osama can be contacted via phone (386) 943-3160.

Contact Information

Primary practice address
701 W Plymouth Ave Deland FL 32720-3236
Fax: (317) 705-5047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D81150 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME145034 Florida

Profile Details

NPI number 1043591514
LBN Legal business name Ali, Osama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2011
Last updated Oct 8th, 2020 - about 5 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 1043591514 NPPES
Maryland MEDICAID 108073300

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