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NPI Code Detail

MEDICARE: EMMANUEL OSAGIEDE MD

MEDICARE: EMMANUEL OSAGIEDE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician01061082AIN
22085R0202XDiagnostic Radiology Physician01061082AIN
32085R0202XDiagnostic Radiology PhysicianME119451FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215024971
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL OSAGIEDE MD
Provider Business Mailing Address
First Line : 4581 WESTON ROAD
Second Line : BOX 327
City : WESTON
State : FL
Zip : 33331-3141
Country : US
Telephone Number : 305-654-5221
Fax Number : 305-654-6872
Provider Business Practice Location Address
First Line : 160 NW 170TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33169-5576
Country : US
Telephone Number : 305-651-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 02/10/2025

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Directions to “ EMMANUEL OSAGIEDE MD” Practice Location

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