Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35.141742 | OH |
NPI | 1013460575 |
---|---|
Provider Name | Hussein Adly |
First Address | Dublin, OH 43017-0727 |
Second Address | Mansfield, OH 44903-2269 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2016 |
Last Update Date | 26/08/2021 |