| Doctor Name: | DR. ABDOLALI ELMI |
| NPI Number: | 1770539033 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35047312 |
| Business Practice Address: | 9000 N Main St Ste 201 Dayton, OH - 454151180 |
| Business Phone Number: | 9378364042 |
| Business Fax Number: | 9378362702 |
| Mailing Address: | 9000 N Main St, Ste 201 DAYTON |
| State: | OH |
| Postal Code: | 454151180 |
| Phone Number: | 9378364042 |
| Fax Number: | 9378362702 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 10/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 35047312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |