Individual
DR. SYED OMAR ALI
Active
Individual
DR. SYED OMAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
056951
GA
207N00000X
Dermatology Physician
Primary
C197728
CA
207N00000X
Dermatology Physician
N9338
TX
207NS0135X
Procedural Dermatology Physician
056951
GA
207NS0135X
Procedural Dermatology Physician
C197728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179353931
—
GA
01
—
DC4061
RAILROAD MEDICARE
GA
Enumeration date
11/30/2006
Last updated
02/25/2025
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