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
Fax: (832) 825-1449
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285630244 NPPES
Texas MEDICAID 106153302

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