Basic Information
| Provider Information | |||||||||
| NPI: | 1508869751 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALO | ||||||||
| FirstName: | ABED | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4235 SECOR RD | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194733561 | ||||||||
| FaxNumber: | 4192912242 | ||||||||
| Practice Location | |||||||||
| Address1: | 3909 WOODLEY ROAD | ||||||||
| Address2: | 800 | ||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192912241 | ||||||||
| FaxNumber: | 4192912242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2005 | ||||||||
| LastUpdateDate: | 02/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208C00000X | 35-04-8384A | OH | N | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 208C00000X | 35048384 | OH | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 208600000X | 35048384 | OH | N | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1400052 | 01 | UNITED HEALTH CARE | OTHER | 600447 | 01 | FAMILY HEALTH PLAN | OTHER | 4002325 | 01 | AETNA | OTHER | 000000223904 | 01 | ANTHEM | OTHER | 0543620 | 05 | OH | MEDICAID | 00130 | 01 | PARAMOUNT | OTHER | 280001104 | 01 | OH | RAILROAD MEDICARE | OTHER | 600447 | 01 | BUCKEYE COMMUNITY HEALTH PLAN | OTHER | 104389638 | 01 | MI | MICHIGAN MEDICAID | OTHER | 22099 | 01 | NATIONWIDE | OTHER | 6336184001 | 01 | CIGNA | OTHER |