Ibeanu, Okechukwu Anthony

Ibeanu, Okechukwu Anthony is an individual health care provider with primary practice located at 9135 Piscataway Rd Ste 420 , Clinton MD 20735-2555. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Ibeanu, Okechukwu Anthony can be contacted via phone (301) 828-2555.

Contact Information

Primary practice address
9135 Piscataway Rd Ste 420 Clinton MD 20735-2555
Phone: (301) 828-2555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15442R Louisiana
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD423582 Pennsylvania

Profile Details

NPI number 1538182571
LBN Legal business name Ibeanu, Okechukwu Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 2nd, 2016 - about 9 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 1538182571 NPPES
Pennsylvania MEDICAID 103065271
Pennsylvania MEDICAID 1074497

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