Izevbaye, Iyare E

Izevbaye, Iyare E is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se , Atlanta GA 30303-3031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Izevbaye, Iyare E can be contacted via phone (780) 983-7765.

Contact Information

Primary practice address
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031
Phone: (780) 983-7765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 105698 Minnesota
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 54450 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 91802 Georgia

Profile Details

NPI number 1720212814
LBN Legal business name Izevbaye, Iyare E
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated Jun 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720212814 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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