Kamalu, Ifeoma N

Kamalu, Ifeoma N is an individual health care provider with primary practice located at 7300 N Canton Center Rd , Canton MI 48187-1579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kamalu, Ifeoma N can be contacted via phone (734) 454-8002.

Contact Information

Primary practice address
7300 N Canton Center Rd Canton MI 48187-1579
Fax: (734) 454-2733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301087974 Michigan

Profile Details

NPI number 1346410479
LBN Legal business name Kamalu, Ifeoma N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated May 9th, 2012 - about 13 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 1346410479 NPPES
Michigan Other 12367308 CAQH

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