Individual
ALI S ALMUDALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 W HIGH ST, SUITE 160, LIMA, OH 45801-3990
(419) 996-5224
(419) 996-5276
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35076642
OH
2084N0600X
Clinical Neurophysiology Physician
35076642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2249696
—
OH
Enumeration date
10/04/2006
Last updated
01/04/2017
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