Individual
ALI RIDWAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3823 SULLIVANT AVE, COLUMBUS, OH 43228-2135
(614) 710-0993
Mailing address
3823 SULLIVANT AVE, COLUMBUS, OH 43228-2135
(614) 710-0993
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
251105
OH
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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