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NPI Code Detail

MEDICARE: DR. INEMA EPERE ORUKARI MD, PHD

MEDICARE: DR. INEMA EPERE ORUKARI MD, PHD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramWA

General Provider Information

NPI Number : 1659013902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INEMA EPERE ORUKARI MD, PHD
Provider Business Mailing Address
First Line : 4394 W PINE BLVD APT 212
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-2222
Country : US
Telephone Number : 510-685-0547
Fax Number :
Provider Business Practice Location Address
First Line : 925 SENECA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2742
Country : US
Telephone Number : 206-583-6079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 04/08/2022

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