Omalu, Bennet Ifeakandu
Omalu, Bennet Ifeakandu is an individual health care provider with primary practice located at 4400 V Street University Of California, Davis, Medical Center, Sacramento CA 95817. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Legal Medicine, Allopathic & Osteopathic Physicians / Independent Medical Examiner. Allopathic & Osteopathic Physicians / Independent Medical Examiner is his primary health care specialty. Omalu, Bennet Ifeakandu can be contacted via phone (916) 734-2525.Contact Information
Primary practice address
4400 V Street University Of California, Davis, Medical Center
Sacramento CA 95817
Phone: (916) 734-2525
Fax: (866) 402-6875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | C52868 | California |
Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | C52868 | California |
Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | C52868 | California |
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | C52868 | California |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C52868 | California |
Allopathic & Osteopathic Physicians / Legal Medicine | 209800000X | C52868 | California |
Allopathic & Osteopathic Physicians / Independent Medical Examiner | 202C00000X | C52868 | California |
Profile Details
NPI number | 1346467370 |
---|---|
LBN Legal business name | Omalu, Bennet Ifeakandu |
Credentials | M.D., M.B.A., M.P.H. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2007 |
Last updated | Mar 23rd, 2020 - about 4 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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