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NPI Code Detail

MEDICARE: DR. SOCHIMA ISIOMA OCHIJE MD

MEDICARE: DR. SOCHIMA ISIOMA OCHIJE MD
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
12084P0800XPsychiatry Physician01098860AIN
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry Physician64356CT
42084P0805XGeriatric Psychiatry Physician01098860AIN

General Provider Information

NPI Number : 1609305655
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOCHIMA ISIOMA OCHIJE MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1008
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 1701 S CREASY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-4972
Country : US
Telephone Number : 765-502-4866
Fax Number : 765-502-4401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 04/06/2026

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