Ali, Osama

Ali, Osama is an sole proprietor health care provider with primary practice located at 204 Bevins Ln Ste A , Georgetown KY 40324-6145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ali, Osama can be contacted via phone (502) 603-9881.

Contact Information

Primary practice address
204 Bevins Ln Ste A Georgetown KY 40324-6145
Phone: (502) 603-9881
Fax: (888) 234-8154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 121075 Ohio
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 47019 Kentucky
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 121075 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 47019 Kentucky

Profile Details

NPI number 1447575527
LBN Legal business name Ali, Osama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2010
Last updated Mar 15th, 2019 - about 7 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 1447575527 NPPES
Kentucky MEDICAID 7100303280

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