Iwuchukwu, Ifeanyi Obianyo

Iwuchukwu, Ifeanyi Obianyo is an individual health care provider with primary practice located at 2801 Nw 79Th Ave , Doral FL 33122-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Iwuchukwu, Ifeanyi Obianyo can be contacted via phone (786) 466-1000.

Contact Information

Primary practice address
2801 Nw 79Th Ave Doral FL 33122-1174
Phone: (786) 466-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD.205842 Louisiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2010-00334 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101244159 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 100378 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD18915 Rhode Island
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 39314 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036123462 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME155523 Florida

Profile Details

NPI number 1215169974
LBN Legal business name Iwuchukwu, Ifeanyi Obianyo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Dec 6th, 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 1215169974 NPPES
Mississippi MEDICAID 00277248
Mississippi MEDICAID 393149
Mississippi MEDICAID 2317164
Mississippi MEDICAID 113881400

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