Ohio Valley Allergy and Asthma Center. LLC.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

OHIO VALLEY ALLERGY AND ASTHMA CENTER. LLC.

Practice address

400 Matthew St
Suite 101
Marietta, OH 45750-1644

Phone

(740) 373-0669

Fax

(740) 568-5228

NPI assigned

May 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mona Abdelgalil Imam, M.D.

Title

Sole Member

Phone

(740) 373-0669

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295792398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500386",
            "telephone_number": "740-373-0669",
            "fax_number": "740-568-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST",
            "address_2": "SUITE 101",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501644",
            "telephone_number": "740-373-0669",
            "fax_number": "740-568-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY ALLERGY AND ASTHMA CENTER. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "ABDELGALIL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "740-373-0669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O'Neill Senior Center, Inc.
• Constance J Oates, FNP
• Gary E Oates Jr., MD
• Hallie Oblisk
• Ohio CVS Stores LLC
• Ohio Valley Cab & Delivery Service LLC
• Ohio Valley Emergency Physicians, Inc.
• Ohio Valley Eye Physicians & Surgeons PLLC
• Ohio Valley Medical Quickcare Inc
• Ohio Valley Medical Quickcare, Inc

• Allergy & Immunology Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Allergy & Immunology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.