Provider Demographics
NPI:1265500789
Name:ALARADI, OSAMA H (MD)
Entity Type:Individual
Prefix:
First Name:OSAMA
Middle Name:H
Last Name:ALARADI
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 1:3355 GLENDALE AVE
Mailing Address - Street 2:UNIVERSITY OF TOLEDO PHYSICIANS, LLC
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-7100
Mailing Address - Fax:
Practice Address - Street 1:3120 GLENDALE AVE
Practice Address - Street 2:UNIVERSITY OF TOLEDO PHYSICIANS, LLC
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-5811
Practice Address - Country:US
Practice Address - Phone:419-383-3627
Practice Address - Fax:419-383-6197
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.121460207RG0100X
MI4301084934207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OA084934OtherCHAMPUS-CHAMPUS
100H264400OtherBLUE CROSS-BLUE CROSS
MI471863810Medicaid
OA084934OtherCOMMERCIAL-COMMERCIAL NUMBER
OA084934OtherCOMMERCIAL-COMMERCIAL NUMBER
MI471863810Medicaid