Individual
OMAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1117 E HOME RD, SPRINGFIELD, OH 45503-2725
(614) 383-6450
Mailing address
PO BOX 734439, CHICAGO, IL 60673-4439
(614) 383-6450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.026126
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
57.026126
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
57.026126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402585
—
OH
Enumeration date
04/10/2015
Last updated
11/25/2025
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