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Individual

MOHAMMAD OUSSAMA ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 552-2000
Mailing address
4915 S 202ND AVE APT 2, OMAHA, NE 68135-3930
(605) 214-1656

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
36266
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/01/2021
Last updated
06/26/2024
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