Individual
OSAMA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
(317) 705-5047
Mailing address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
(317) 705-5047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D81150
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME145034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108073300
—
MD
Enumeration date
08/29/2011
Last updated
10/08/2020
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