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NPI Code Detail

MEDICARE: DR. EBI AWOSIKA M.D, M.P.H

MEDICARE: DR. EBI AWOSIKA M.D, M.P.H
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 Physician052141GA
22083X0100XOccupational Medicine Physician052141GA
32084P0800XPsychiatry Physician63910MN

General Provider Information

NPI Number : 1861596322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EBI AWOSIKA M.D, M.P.H
Provider Business Mailing Address
First Line : 6600 FRANCE AVE S STE 415
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55435-1804
Country : US
Telephone Number : 952-303-6832
Fax Number :
Provider Business Practice Location Address
First Line : 6600 FRANCE AVE S STE 415
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55435-1804
Country : US
Telephone Number : 952-303-6832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 04/23/2025

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