Organization
OHIO VALLEY ALLERGY AND ASTHMA CENTER. LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA ABDELGALIL IMAM M.D. (SOLE MEMBER)
(740) 373-0669
Entity
Organization
Contact information
Practice address
400 MATTHEW ST, SUITE 101, MARIETTA, OH 45750-1644
(740) 373-0669
(740) 568-5228
Mailing address
PO BOX 386, MARIETTA, OH 45750-0386
(740) 373-0669
(740) 568-5228
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2253421
—
OH
Enumeration date
05/01/2006
Last updated
08/22/2020
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