Osarenkhoe, Ilevba Uwaila

Osarenkhoe, Ilevba Uwaila is an individual health care provider with primary practice located at 7503 Surratts Rd , Clinton MD 20735-3358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Osarenkhoe, Ilevba Uwaila can be contacted via phone (301) 868-8000.

Contact Information

Primary practice address
7503 Surratts Rd Clinton MD 20735-3358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 255678 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0067100 Maryland

Profile Details

NPI number 1992978910
LBN Legal business name Osarenkhoe, Ilevba Uwaila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992978910 NPPES
Massachusetts MEDICAID 110097583A

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