=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609526961
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OZAIR ALI MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2022
-----------------------------------------------------
Last Update Date | 07/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2200 JEFFERSON AVE. MERCY FAMILY PHYSICIANS
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-241-1400
-----------------------------------------------------
Fax | 419-251-1797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2200 JEFFERSON AVE
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43604-7101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-241-1400
-----------------------------------------------------
Fax | 419-251-1797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 35.153614
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------