Provider Demographics
NPI:1285120642
Name:ALI, SHARMARKE MOHAMED
Entity type:Individual
Prefix:
First Name:SHARMARKE
Middle Name:MOHAMED
Last Name:ALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 WHITFIELD AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2316
Mailing Address - Country:US
Mailing Address - Phone:614-592-2932
Mailing Address - Fax:614-737-5321
Practice Address - Street 1:3240 WHITFIELD AVE APT 308
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2316
Practice Address - Country:US
Practice Address - Phone:614-592-2932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
OH30.025441122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No251E00000XAgenciesHome Health