Provider Demographics
NPI:1255370573
Name:OJADI, VALLIER C (MD)
Entity type:Individual
Prefix:DR
First Name:VALLIER
Middle Name:C
Last Name:OJADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VALLIER
Other - Middle Name:C
Other - Last Name:OJADI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:350 HOSPITAL DR
Mailing Address - Street 2:NICU
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-3838
Mailing Address - Country:US
Mailing Address - Phone:478-765-4132
Mailing Address - Fax:478-765-4171
Practice Address - Street 1:350 HOSPITAL DRIVE
Practice Address - Street 2:NICU
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217
Practice Address - Country:US
Practice Address - Phone:478-765-4132
Practice Address - Fax:478-765-4171
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07115800174400000X
GA585602080N0001X
TXN59172080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ195044OtherAMERICAID ID #
NJ3840351OtherAETNA HMO ID #
NJ8219776OtherGHI PPO ID #
NJP3225883OtherOXFORD ID #
NJ2291756000OtherAMERIHEALTH ID #
NJ7147555OtherAETNA PPO ID #
NJ221494442OtherTAX ID #
NJ36963OtherUNIVERSITY HP ID #
NJ60009046OtherHORIZON NJ HEALTH ID #
NJ075652Medicare ID - Type UnspecifiedMEDICARE NJ ID #
NJH98787Medicare UPIN