Healthcare Provider Details

I. General information

NPI: 1144626284
Provider Name (Legal Business Name): ABDULRAZAK ALALI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
MORGANTOWN WV
26506-1200
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 304-293-7332
  • Fax: 304-974-3257
Mailing address:
  • Phone: 305-436-6333
  • Fax: 330-543-7649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number35.135949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: