DR. DELALI OHUI BLAVO


Address: 401 Southcrest Cir Ste 202, Southaven, MS 38671-6719
Phone: 9017633636

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
23064 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 401 SOUTHCREST CIR STE 202
City SOUTHAVEN
State MS
Zip Code 38671-6719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093910705 Gregory Pearce Norwood Obstetrics & Gynecology 401 Southcrest Cir Ste 202, Southaven, MS 38671-6719 2007-06-20

Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City SOUTHAVEN
Zip Code 38671

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Dataset Information

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.

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