Provider Demographics
NPI:1326465683
Name:ALLIU, SAMSON ENEYUFUO (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMSON
Middle Name:ENEYUFUO
Last Name:ALLIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3170 KETTERING BLVD BLDG B3
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1924
Mailing Address - Country:US
Mailing Address - Phone:937-991-3188
Mailing Address - Fax:937-223-9811
Practice Address - Street 1:3535 PENTAGON BLVD STE 330
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-1705
Practice Address - Country:US
Practice Address - Phone:937-558-3021
Practice Address - Fax:937-702-4944
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2023-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.130704207RI0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine