Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.098753 | OH |
N | 111NI0900X | Internist | 35.098753 | OH |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60797883 | WA |
NPI | 1962639864 |
---|---|
Provider Name | Dr. Omair M Ali |
First Address | Dayton, OH 45409-2939 |
Second Address | Dayton, OH 45409-2939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 12/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0065412 | (05) | OH |