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NPI Code Detail

MEDICARE: DR. OBINNA VICTOR OBIEKEZIE M.D.

MEDICARE: DR. OBINNA VICTOR OBIEKEZIE M.D.
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
1207R00000XInternal Medicine Physician35.134912OH
2208M00000XHospitalist Physician036.163331IL
3207RC0200XCritical Care Medicine (Internal Medicine) Physician036.163331IL

General Provider Information

NPI Number : 1861844201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OBINNA VICTOR OBIEKEZIE M.D.
Provider Business Mailing Address
First Line : 2568 GREENLEFE DR
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-8600
Country : US
Telephone Number : 832-288-7885
Fax Number :
Provider Business Practice Location Address
First Line : 450 W HIGHWAY 22 STE AIP
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-1919
Country : US
Telephone Number : 708-283-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2016
Last Update Date : 12/28/2025

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