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NPI Code Detail

MEDICARE: DR. OBILOH EGU M.D.

MEDICARE: DR. OBILOH EGU 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
1207V00000XObstetrics & Gynecology PhysicianN5031TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407831233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OBILOH EGU M.D.
Provider Business Mailing Address
First Line : 210 CANAL ST
Second Line :
City : KING CITY
State : CA
Zip : 93930-3432
Country : US
Telephone Number : 831-385-5471
Fax Number : 831-385-5940
Provider Business Practice Location Address
First Line : 7600 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1906
Country : US
Telephone Number : 713-790-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 12/01/2025

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