# OHIO VALLEY ALLERGY AND ASTHMA CENTER. LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295792398
- **Authorized official:** MONA ABDELGALIL IMAM M.D. (SOLE MEMBER)
- **Authorized official phone:** (740) 373-0669

## Contact information

- **Practice address:** 400 MATTHEW ST, SUITE 101, MARIETTA, OH 45750-1644
- **Practice address phone:** (740) 373-0669
- **Practice address fax:** (740) 568-5228
- **Mailing address:** PO BOX 386, MARIETTA, OH 45750-0386
- **Mailing address phone:** (740) 373-0669
- **Mailing address fax:** (740) 568-5228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | OH | Yes |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 08/22/2020