Healthcare Provider Details

I. General information

NPI: 1447755574
Provider Name (Legal Business Name): EFEHI IGBINOMWANHIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 EPTING AVE
GREENWOOD SC
29646-4041
US

IV. Provider business mailing address

836 W WELLINGTON AVE
CHICAGO IL
60657-5147
US

V. Phone/Fax

Practice location:
  • Phone: 864-227-6818
  • Fax:
Mailing address:
  • Phone: 773-975-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number94252
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number94252
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: