Obianyo, Ifeanyi Obi

Obianyo, Ifeanyi Obi is an sole proprietor health care provider with primary practice located at 353 New Shackle Island Rd Suite 206 A, Hendersonville TN 37075-2379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Obianyo, Ifeanyi Obi can be contacted via phone (615) 264-4743.

Contact Information

Primary practice address
353 New Shackle Island Rd Suite 206 A Hendersonville TN 37075-2379
Phone: (615) 264-4743
Fax: (615) 264-4589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MC18601 Tennessee

Profile Details

NPI number 1235171596
LBN Legal business name Obianyo, Ifeanyi Obi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jan 12th, 2010 - about 15 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 1235171596 NPPES
Tennessee MEDICAID 3071527

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