Healthcare Provider Details

I. General information

NPI: 1083293690
Provider Name (Legal Business Name): ELOHO EJIRO AKPOVI MD, MS, SCM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 WASHINGTON ST
DEDHAM MA
02026-6031
US

IV. Provider business mailing address

330 BROOKLINE AVE KIRSTEIN 3
BOSTON MA
02215
US

V. Phone/Fax

Practice location:
  • Phone: 781-453-7240
  • Fax: 781-461-4516
Mailing address:
  • Phone: 617-667-4600
  • Fax: 617-975-5207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1024071
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA195561
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: