MEDICARE: DR. IZUCHUKWU IBE 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
1	207X00000X	Orthopaedic Surgery Physician	28906	MS

General Provider Information

NPI Number	:	1235558057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IZUCHUKWU IBE MD

Provider Business Mailing Address
First Line	:	5200 CENTRE AVE FL 58
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1300
Country	:	US
Telephone Number	:	412-802-4123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	03/16/2026

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