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ALLERGY AND ASTHMA CENTER, INC
NPI 1104913417
Allergy & Immunology in Wilmington, OH

Active since October 06, 2006
110 FAIRWAY DR, SUITE # 2, WILMINGTON, OH 45177(937) 655-9179(937) 655-9139 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allergy And Asthma Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLERGY AND ASTHMA CENTER, INC (NPI 1104913417) is a healthcare organization registered as an allergy & immunology in Wilmington, Ohio and active in the NPI registry since October 2006. The organization lists Vidyashankar B Revan, Md / President, as its authorized official.

NPPES Registry Identity

NPI1104913417
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameALLERGY AND ASTHMA CENTER, INC
Location Address110 FAIRWAY DR, SUITE # 2Wilmington, OH 45177-8756
Mailing Address110 Fairway Dr, Suite # 2Wilmington, OH 45177-8756 · (937) 655-9179 · Fax (937) 655-9139
Phone(937) 655-9179
Fax(937) 655-9139
Organization SubpartNo
Authorized OfficialVidyashankar B RevanMd / President · (937) 655-9179
Enumeration DateOctober 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104913417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in OH · 35080833
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
110 FAIRWAY DR, Wilmington, OH 45177
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Other Identifiers 5

Other000000237118Bluecross And Blueshield
Medicaid2321660OH
OtherDD 2704Railroad Medicare Id #
OtherD80833Humana / Choice Care Id
Other0200482United Health Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIDYASHANKAR B REVAN M.D
Allergy & Immunology
110 FAIRWAY DR, SUITE # 2
WILMINGTON, OH 45177
Clinton County (937) 655-9179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allergy And Asthma Center, Inc's NPI number?

The NPI number for Allergy And Asthma Center, Inc is 1104913417. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Allergy And Asthma Center, Inc located?

Allergy And Asthma Center, Inc is located at 110 Fairway Dr Suite # 2, Wilmington, OH 45177. The listed phone number is (937) 655-9179.

What is Allergy And Asthma Center, Inc's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Allergy And Asthma Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.