| Blavo Medical Group | |
|
3198 Highway 72 W Corinth MS 38834-9303 | |
| (662) 212-5551 | |
| (833) 468-1518 |
| Full Name | Blavo Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3198 Highway 72 W, Corinth, Mississippi |
| Authorized Official Name and Position | Delali Ohui Blavo (OWNER) |
| Authorized Official Contact | 6787728803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blavo Medical Group 3198 Highway 72 W Corinth MS 38834-9303 Ph: (662) 212-5551 | Blavo Medical Group 3198 Highway 72 W Corinth MS 38834-9303 Ph: (662) 212-5551 |
| NPI Number | 1184575532 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Medicare PECOS PAC ID | 4880162254 |
|---|---|
| Medicare Enrollment ID | O20260504007399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184575532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Delali Ohui Blavo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538430244 PECOS PAC ID: 6608179510 Enrollment ID: I20160620001231 |
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