=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841514817
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OVIE EFEURHOBO APPRESAI M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2010
-----------------------------------------------------
Last Update Date | 06/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4140 FERNCREEK DR STE 601
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28314-2569
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-485-3880
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 107
-----------------------------------------------------
City | STANAFORD
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-255-3603
-----------------------------------------------------
Fax | 304-255-5862
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 048520
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 2016-00320
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------