Provider Demographics
NPI:1407485337
Name:AL ALI, OSAMAH ABDULHUSSEIN (MD)
Entity type:Individual
Prefix:
First Name:OSAMAH
Middle Name:ABDULHUSSEIN
Last Name:AL ALI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:OSAMAH
Other - Middle Name:ABDULAMEER
Other - Last Name:ABDULHUSSEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OSAMAH ABDULHUSSEIN
Mailing Address - Street 1:9500 EUCLID AVE # JJ24
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # JJ24
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35.147625390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program