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NPI Code Detail

MEDICARE: OLISAEMEKA OLIVER AKAMNONU M.D.

MEDICARE: OLISAEMEKA OLIVER AKAMNONU 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
1207U00000XNuclear Medicine Physician293212NY

General Provider Information

NPI Number : 1689010985
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLISAEMEKA OLIVER AKAMNONU M.D.
Provider Business Mailing Address
First Line : 3450 WAYNE AVE APT 23H
Second Line :
City : BRONX
State : NY
Zip : 10467-2512
Country : US
Telephone Number : 347-337-9656
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 313-916-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2013
Last Update Date : 04/26/2018

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