Provider Demographics
NPI:1104671353
Name:ALONGE, OLUBUKOLA O (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:OLUBUKOLA
Middle Name:O
Last Name:ALONGE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:OLUBUKOLA
Other - Middle Name:O
Other - Last Name:OTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1201 11TH AVE S STE 3200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-3423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 11TH AVE S STE 3200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3423
Practice Address - Country:US
Practice Address - Phone:205-996-2671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program