Doctor Name: | MR. IYALLA NED ADOKI |
NPI Number: | 1073585931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD038543L |
Business Practice Address: | 1104 Fifth Avenue Coraopolis, PA - 151081842 |
Business Phone Number: | 4122623455 |
Business Fax Number: | 4122623415 |
Mailing Address: | 1104 Fifth Avenue, CORAOPOLIS |
State: | PA |
Postal Code: | 151081844 |
Phone Number: | 4122623455 |
Fax Number: | 4122623415 |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | MD038543L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |