MEDICARE: OSAMA HABIB ALARADI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	04-53053	KS
2	207RG0100X	Gastroenterology Physician	35.121460	OH
3	207RG0100X	Gastroenterology Physician	2024032869	MO
4	207RG0100X	Gastroenterology Physician	4301084934	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	100H264400	OTHER	BLUE CROSS-BLUE CROSS
2	OA084934	OTHER	CHAMPUS-CHAMPUS
3	OA084934	OTHER	COMMERCIAL-COMMERCIAL NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265500789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSAMA HABIB ALARADI M.D.

Provider Business Mailing Address
First Line	:	6174 CAMBOURNE RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3917
Country	:	US
Telephone Number	:	734-629-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 GLENDALE AVE
Second Line	:	UNIVERSITY OF TOLEDO PHYSICIANS, LLC
City	:	TOLEDO
State	:	OH
Zip	:	43614-5811
Country	:	US
Telephone Number	:	419-383-3627
Fax Number	:	419-383-6197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	05/06/2026

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