Provider Demographics
NPI:1083651236
Name:CARINE, ALI M (DO)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:M
Last Name:CARINE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 RIVERSIDE DRIVE, SUITE 200
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1788
Mailing Address - Country:US
Mailing Address - Phone:614-459-4200
Mailing Address - Fax:614-459-1589
Practice Address - Street 1:3300 RIVERSIDE DRIVE, SUITE 200
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-1788
Practice Address - Country:US
Practice Address - Phone:614-459-4200
Practice Address - Fax:614-459-1589
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-0073112080A0000X
OH34007311C208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine