Individual
DR. OLUSEUN OLUKAYODE ALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 QUEENS RD STE 200, CHARLOTTE, NC 28204-3578
(704) 343-9800
(704) 347-2011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2016-01363
NC
207RI0011X
Interventional Cardiology Physician
Primary
2016-01363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31807
ALABAMA BOARD OF MEDICINE
AL
01
—
MT184901
MED TRAINING NUMBER
PA
Enumeration date
05/07/2007
Last updated
07/21/2023
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