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General NPI Number Information
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NPI Number | 1194825687
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Entity Type | Individual
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Provider Name | ANGEL OJEDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15921 E 8 MILE RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-2943
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Country | US
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Telephone | 586-774-4480
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Fax | 586-774-4190
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Provider Business Mailing Address
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Address Line | 15921 E 8 MILE RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-2943
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Country | US
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Telephone | 586-774-4480
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Fax | 586-774-4190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | AOO034400
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License Number State | MI
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