Egharevba, Osarenomase

Egharevba, Osarenomase is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Egharevba, Osarenomase can be contacted via phone (770) 918-3000.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 78620 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301108530 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 78620 Georgia

Profile Details

NPI number 1083913230
LBN Legal business name Egharevba, Osarenomase
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2011
Last updated Dec 23rd, 2022 - about 2 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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