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NPI Code Detail

MEDICARE: DR. OGBUGO KALU EMEH M.D

MEDICARE: DR. OGBUGO KALU EMEH M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianLL2756NV
2207R00000XInternal Medicine PhysicianMD483420PA

General Provider Information

NPI Number : 1265774426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OGBUGO KALU EMEH M.D
Provider Business Mailing Address
First Line : 1800 W. CHARLESTON BLVD. STE. 508
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102
Country : US
Telephone Number : 702-383-2688
Fax Number : 702-671-6595
Provider Business Practice Location Address
First Line : 1411 S COLLEGEVILLE RD
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-2957
Country : US
Telephone Number : 484-902-1893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 03/27/2024

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