Healthcare Provider Details

I. General information

NPI: 1750544425
Provider Name (Legal Business Name): AMANKE CHIGOZIE ORANU M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10-42 MITCHELL AVE 3RD FLOOR
BINGHAMTON NY
13903-1678
US

IV. Provider business mailing address

3400 CIVIC CENTER BLVD PCAM - SOUTH PAVILION 7TH FLOOR
PHILADELPHIA PA
19104-5127
US

V. Phone/Fax

Practice location:
  • Phone: 607-772-0639
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD455644
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number289446
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: