Individual
ADEREMI B ALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, STE 6250, DAYTON, OH 45409-2939
(937) 208-8294
(937) 208-8388
Mailing address
30 E APPLE ST, STE 6250, DAYTON, OH 45409-2939
(937) 208-8294
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.084148
OH
208M00000X
Hospitalist Physician
Primary
35.084148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505108
ANTHEM BCBS
—
01
—
001908654
MOUNTAIN STATE BCBS
—
05
—
2690833
—
OH
05
—
3810006753
—
WV
Enumeration date
10/10/2006
Last updated
05/05/2023
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