Provider Demographics
NPI:1598755936
Name:OWDA, ALI K (MD)
Entity Type:Individual
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First Name:ALI
Middle Name:K
Last Name:OWDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2387 S LINDEN RD
Mailing Address - Street 2:STE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5436
Mailing Address - Country:US
Mailing Address - Phone:810-733-1700
Mailing Address - Fax:810-733-1701
Practice Address - Street 1:2387 S LINDEN RD
Practice Address - Street 2:STE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5436
Practice Address - Country:US
Practice Address - Phone:810-733-1700
Practice Address - Fax:810-733-1701
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2023-08-10
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Provider Licenses
StateLicense IDTaxonomies
MI4301075209207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII16218Medicare UPIN