Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 34007311C | OH |
N | 2080A0000X | Adolescent Medicine | 34-007311 | OH |
NPI | 1083651236 |
---|---|
Provider Name | Ali M. Carine |
First Address | Upper Arlington, OH 43221-1788 |
Second Address | Upper Arlington, OH 43221-1788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 19/03/2020 |