Provider Demographics
NPI:1275769556
Name:ALIU, KINGSLEY DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:KINGSLEY
Middle Name:DAVID
Last Name:ALIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6388 SILVER STAR RD STE 2H
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-3235
Mailing Address - Country:US
Mailing Address - Phone:407-704-1771
Mailing Address - Fax:
Practice Address - Street 1:6388 SILVER STAR RD STE 2H
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3235
Practice Address - Country:US
Practice Address - Phone:407-704-1771
Practice Address - Fax:866-341-7487
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129440207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine