Airewele, Gladstone Ehiametalor
Airewele, Gladstone Ehiametalor is an individual health care provider with primary practice located at 6701 Fannin , Houston TX 77030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Airewele, Gladstone Ehiametalor can be contacted via phone (832) 822-4890.Contact Information
Primary practice address
6701 Fannin
Houston TX 77030
Phone: (832) 822-4890
Fax: (832) 825-1449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | K8706 | Texas |
Profile Details
NPI number | 1285630244 |
---|---|
LBN Legal business name | Airewele, Gladstone Ehiametalor |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Aug 31st, 2011 - about 13 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 | 1285630244 | NPPES |
Texas | MEDICAID | 106153302 |
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