Individual
OMAR A ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 CAMPUS BLVD, SUITE 201, WINCHESTER, VA 22601-2872
(540) 662-0306
(540) 542-1843
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036111040
IL
207RI0011X
Interventional Cardiology Physician
Primary
0101258918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01570443
RR MEDICARE
VA
Enumeration date
07/26/2006
Last updated
02/14/2020
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