Otah, Kenneth Ese
Otah, Kenneth Ese is an individual health care provider with primary practice located at 138 Eldridge Rd Suite E, Sugar Land TX 77478-4083. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Otah, Kenneth Ese can be contacted via phone (281) 232-3886.Contact Information
Primary practice address
138 Eldridge Rd Suite E
Sugar Land TX 77478-4083
Phone: (281) 232-3886
Fax: (281) 232-3986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L7835 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L7835 | Texas |
Profile Details
| NPI number | 1093704827 |
|---|---|
| LBN Legal business name | Otah, Kenneth Ese |
| Credentials | MD MSC FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Aug 11th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093704827 | NPPES |
| Texas | MEDICAID | 1754541 |
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