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NPI Code Detail

MEDICARE: OYINE ALI-GEORGE MD, MPH

MEDICARE:   OYINE  ALI-GEORGE  MD, MPH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730930710
Entity Type Code : Individual
Provider Name (Legal Business Name) : OYINE ALI-GEORGE MD, MPH
Provider Business Mailing Address
First Line : 2707 EMERALD MIST WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-8539
Country : US
Telephone Number : 260-418-7164
Fax Number :
Provider Business Practice Location Address
First Line : 2707 EMERALD MIST WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-8539
Country : US
Telephone Number : 260-418-7164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 03/28/2024

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