Ekhaguere, Osayame Austine

Ekhaguere, Osayame Austine is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Ekhaguere, Osayame Austine can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905-8764
Fax: (765) 838-4758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01079516A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01079516A Indiana

Profile Details

NPI number 1568729333
LBN Legal business name Ekhaguere, Osayame Austine
Credentials MB, BS, MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Mar 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568729333 NPPES
Indiana Other 815500571 MEDICARE PTAN
Indiana MEDICAID 300013758 MEDICARE PTAN

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