Individual
OSAMA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(502) 603-9881
(888) 234-8154
Mailing address
222 S 3RD ST, DANVILLE, KY 40422-1824
(859) 239-5570
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
121075
OH
2084P0800X
Psychiatry Physician
Primary
47019
KY
2084P0802X
Addiction Psychiatry Physician
121075
OH
2084P0802X
Addiction Psychiatry Physician
47019
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100303280
—
KY
Enumeration date
04/01/2010
Last updated
03/15/2019
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