Azodo, Ijeoma A

Azodo, Ijeoma A is an individual health care provider with primary practice located at 2 Dudley St Suite 470, Providence RI 02905-3236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Azodo, Ijeoma A can be contacted via phone (401) 272-1800.

Contact Information

Primary practice address
2 Dudley St Suite 470 Providence RI 02905-3236
Phone: (401) 272-1800
Fax: (401) 435-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47608 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X MD144117 Rhode Island

Profile Details

NPI number 1730169194
LBN Legal business name Azodo, Ijeoma A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 12th, 2013 - about 11 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 1730169194 NPPES
Minnesota MEDICAID 949648300

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