Agomuoh, Obioma S
Agomuoh, Obioma S is an sole proprietor health care provider with primary practice located at 3120 Carpenter St Suite 111, Hamtramck MI 48212-9802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Agomuoh, Obioma S can be contacted via phone (313) 893-8314.Contact Information
Primary practice address
3120 Carpenter St Suite 111
Hamtramck MI 48212-9802
Phone: (313) 893-8314
Fax: (313) 893-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4030063912 | Michigan |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 4030063912 | Michigan |
Profile Details
| NPI number | 1023118809 |
|---|---|
| LBN Legal business name | Agomuoh, Obioma S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jan 10th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023118809 | NPPES |
| Michigan | MEDICAID | 4149140 |
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