MEDICARE: ALI M CARINE, DO, LLC

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	174400000X	Specialist	34-007311	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730413592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALI M CARINE, DO, LLC

Provider Business Mailing Address
First Line	:	3300 RIVERSIDE DRIVE
Second Line	:	SUITE 200
City	:	COLUMBUS
State	:	OH
Zip	:	43221
Country	:	US
Telephone Number	:	614-276-2400
Fax Number	:	614-276-2500

Provider Business Practice Location Address
First Line	:	3300 RIVERSIDE DR
Second Line	:	SUITE 200
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-1738
Country	:	US
Telephone Number	:	614-276-2400
Fax Number	:	614-276-2500

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	ALI M CARINE
Credential	:	DO
Telephone Number	:	614-276-2400

Provider Enumeration Date	:	09/28/2009
Last Update Date	:	09/28/2009

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Directions to “ALI M CARINE, DO, LLC ” Practice Location

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