Provider Demographics
NPI:1730930710
Name:ALI-GEORGE, OYINE (MD, MPH)
Entity type:Individual
Prefix:
First Name:OYINE
Middle Name:
Last Name:ALI-GEORGE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 EMERALD MIST WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-8539
Mailing Address - Country:US
Mailing Address - Phone:260-418-7164
Mailing Address - Fax:
Practice Address - Street 1:2707 EMERALD MIST WAY
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-8539
Practice Address - Country:US
Practice Address - Phone:260-418-7164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program