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Individual

TAHIRA GITTENS ADELEKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1010 VALLEY ST, DAYTON, OH 45404
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.127565
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35.127565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0183203
OH
Enumeration date
11/15/2006
Last updated
10/05/2023
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