Individual provider · Type 1 NPI

Mohamad Ali Nasrallah, MD/PHD

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1174326136 Active

Practice location

395 W 12th Ave Ste 346A
Columbus, OH 43210-1267

Call (614) 293-9812 Map

Mailing address

17529 Myron St
Livonia, MI 48152-3116

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174326136

Mohamad Ali Nasrallah, MD/PHD's National Provider Identifier is 1174326136, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Mar 27, 2025.