Provider Demographics
NPI:1447459607
Name:ALUYI, CLEMENT (MD)
Entity type:Individual
Prefix:
First Name:CLEMENT
Middle Name:
Last Name:ALUYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 361
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-0361
Mailing Address - Country:US
Mailing Address - Phone:931-207-8630
Mailing Address - Fax:931-207-8629
Practice Address - Street 1:1119 E COLLEGE ST STE 1
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4564
Practice Address - Country:US
Practice Address - Phone:931-207-8630
Practice Address - Fax:931-207-8629
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN43040207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1505111Medicaid
TN1505111Medicaid