Individual
DR. ALI M DAVOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 BELLEFONTAINE AVE, LIMA, OH 45804-3107
(419) 228-0920
(419) 228-0753
Mailing address
1235 BELLEFONTAINE AVE, LIMA, OH 45804-3107
(419) 228-0920
(419) 228-0753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111NN0400X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134225
ANTHEM
OH
01
—
403032406000
MEDICAL MUTUAL OF OH
OH
Enumeration date
05/16/2006
Last updated
10/31/2022
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