Individual
IVAN DAVID ONGOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, STE 3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, STE 3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-098603
OH
207R00000X
Internal Medicine Physician
48246
KY
208M00000X
Hospitalist Physician
Primary
35-098603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068049
—
OH
Enumeration date
07/28/2009
Last updated
04/26/2018
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