Provider Demographics
NPI:1467277194
Name:ALI, DALMAR HASSAN
Entity type:Individual
Prefix:MR
First Name:DALMAR
Middle Name:HASSAN
Last Name:ALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5853 VILLAGE BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7730
Mailing Address - Country:US
Mailing Address - Phone:614-446-7953
Mailing Address - Fax:
Practice Address - Street 1:5853 VILLAGE BRIDGE DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7730
Practice Address - Country:US
Practice Address - Phone:614-446-7953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide