Provider Demographics
NPI:1639866403
Name:ALEGI, OLUKEMI ABIKE (MD)
Entity Type:Individual
Prefix:MRS
First Name:OLUKEMI
Middle Name:ABIKE
Last Name:ALEGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:OLUKEMI
Other - Middle Name:ABIKE
Other - Last Name:DADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-6135
Mailing Address - Fax:
Practice Address - Street 1:1270 PRINCE AVENUE, SUITE 102
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-475-7055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-130212085R0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology