Individual
DR. MEDIAN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3533 SOUTHERN BLVD STE 5800, KETTERING, OH 45429-1263
(937) 401-1618
(937) 741-8366
Mailing address
3533 SOUTHERN BLVD STE 5800, KETTERING, OH 45429-1263
(937) 439-3600
(937) 741-8366
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35-091324
OH
207RP1001X
Pulmonary Disease Physician
35-091324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066140
—
IN
05
—
2838077
—
OH
01
—
DC3600
RAILROAD GROUP
IN
01
—
P00470380
RAILROAD INDIVIDUAL
IN
Enumeration date
11/29/2005
Last updated
10/02/2025
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