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
Phone: (386) 943-3160
Fax: (317) 705-5047
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1043591514 | NPPES |
| Maryland | MEDICAID | 108073300 |
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