DR. DELALI OHUI BLAVO (NPI# 1538430244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538430244 |
Entity Type | Individual |
Full Name | DR. DELALI OHUI BLAVO |
Credential | DO |
Practice Address |
401 Southcrest Cir Ste 202 Southaven MS 38671-6719 |
Mailing Address |
965 Ridge Lake Blvd Memphis TN 38120-9401 |
Practice Telephone | 9017633636 |
Practice Fax Number | 6625362282 |
Mailing Fax Number | 9012278591 |
Enumeration Date | 2012-01-26 |
Last Update Date | 2020-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
23064 | MS | Allopathic & Osteopathic Physicians |
Street Address |
401 SOUTHCREST CIR STE 202 |
City | SOUTHAVEN |
State | MS |
Zip Code | 38671-6719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093910705 | Gregory Pearce Norwood | Obstetrics & Gynecology | 401 Southcrest Cir Ste 202, Southaven, MS 38671-6719 | 2007-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
Find all providers in zip 38671 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841761129 | Dcgm, Inc | Internal Medicine | 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 | 2018-12-11 |
1669727228 | Farah Naz Mushtaq | Internal Medicine | 5909 U S Highway 49 Ste 30, Hattiesburg, MS 39402-2860 | 2012-07-19 |
1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
1396808879 | Oxford Endocrinology Consultants, P.C. | Internal Medicine | 512 Azalea Drive, Oxford, MS 38655 | 2006-12-18 |
1376553222 | Richard J Galloway | Internal Medicine | 5909 Us Highway 49, Suite 30, Hattiesburg, MS 39401 | 2006-08-09 |
1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
1376559880 | Mark Devin Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-01 |
1366498677 | Linda Mary Dales | Internal Medicine | 1516 23rd Ave, Meridian, MS 39301-4026 | 2006-05-26 |
1588617997 | Beverly Lansden | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
1730138231 | Diabetes & Endocrine Institute, Pllc | Internal Medicine | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2006-05-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.