Edo-Ohonba, Osaze

Edo-Ohonba, Osaze is an individual health care provider with primary practice located at 1600 East Broadway , Columbia MO 65201-5844. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Edo-Ohonba, Osaze can be contacted via phone (573) 815-8000.

Contact Information

Primary practice address
1600 East Broadway Columbia MO 65201-5844
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT 185563 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018019491 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2018019491 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01065638A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2018019491 Missouri

Profile Details

NPI number 1639331317
LBN Legal business name Edo-Ohonba, Osaze
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Feb 28th, 2023 - about last year

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 1639331317 NPPES
Indiana MEDICAID 200908800

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