Provider Demographics
NPI:1093916678
Name:AL-RAWI, ALI ZIAD (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:ZIAD
Last Name:AL-RAWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W OAK ST STE 312
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4910
Mailing Address - Country:US
Mailing Address - Phone:904-343-8101
Mailing Address - Fax:407-343-9367
Practice Address - Street 1:720 W OAK ST STE 312
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4910
Practice Address - Country:US
Practice Address - Phone:904-343-8101
Practice Address - Fax:407-343-9367
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN11020208600000X
FLME 114954208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery