# AVICENNA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073940078
- **Authorized official:** DR. ABDALLAH Y ALI MD (PRESIDENT)
- **Authorized official phone:** (440) 334-7173

## Contact information

- **Practice address:** 16453 PEARL RD, STRONGSVILLE, OH 44136-6041
- **Practice address phone:** (440) 334-7173
- **Mailing address:** 16453 PEARL RD, STRONGSVILLE, OH 44136-6041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2013
- **Last updated:** 10/04/2013