Provider Demographics
NPI:1508869751
Name:ALO, ABED E (MD)
Entity Type:Individual
Prefix:DR
First Name:ABED
Middle Name:E
Last Name:ALO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623
Mailing Address - Country:US
Mailing Address - Phone:419-473-3561
Mailing Address - Fax:419-291-2242
Practice Address - Street 1:3909 WOODLEY ROAD
Practice Address - Street 2:800
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:419-291-2241
Practice Address - Fax:419-291-2242
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-8384A208C00000X
OH35048384208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1400052OtherUNITED HEALTH CARE
600447OtherFAMILY HEALTH PLAN
4002325OtherAETNA
000000223904OtherANTHEM
OH0543620Medicaid
00130OtherPARAMOUNT
OH280001104OtherRAILROAD MEDICARE
600447OtherBUCKEYE COMMUNITY HEALTH PLAN
MI104389638OtherMICHIGAN MEDICAID
22099OtherNATIONWIDE
6336184001OtherCIGNA
OHA15613Medicare UPIN
OH0542985Medicare PIN
600447OtherFAMILY HEALTH PLAN