MEDICARE: EMEKA O IROHA MD A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	208M00000X	Hospitalist Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1558543264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMEKA O IROHA MD A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 30102
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84130-0102
Country	:	US
Telephone Number	:	702-971-3400
Fax Number	:	702-971-3401

Provider Business Practice Location Address
First Line	:	2110 E FLAMINGO RD STE 213
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5193
Country	:	US
Telephone Number	:	702-971-3400
Fax Number	:	702-971-3401

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMEKA O IROHA
Credential	:	MD
Telephone Number	:	702-971-3400

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	01/09/2026

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