Healthcare Provider Details

I. General information

NPI: 1821987991
Provider Name (Legal Business Name): PATRICK IHEJIRIKA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BECKS WOODS DR STE 200
BEAR DE
19701-3852
US

IV. Provider business mailing address

121 BECKS WOODS DR STE 200
BEAR DE
19701-3852
US

V. Phone/Fax

Practice location:
  • Phone: 302-220-6955
  • Fax:
Mailing address:
  • Phone: 302-220-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC5-0012289
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: