Individual
DR. EMDAD ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503-1117
(937) 390-1700
(937) 390-2471
Mailing address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503-1117
(937) 390-1700
(937) 390-2471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.125954
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131187
—
OH
Enumeration date
05/10/2012
Last updated
09/23/2016
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