Ezeanolue, Echezona Edozie

Ezeanolue, Echezona Edozie is an individual health care provider with primary practice located at 3006 S Maryland Pkwy 315, Las Vegas NV 89109-2218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Ezeanolue, Echezona Edozie can be contacted via phone (702) 992-6868.

Contact Information

Primary practice address
3006 S Maryland Pkwy 315 Las Vegas NV 89109-2218
Fax: (702) 992-6860
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 11027 Nevada

Profile Details

NPI number 1598743254
LBN Legal business name Ezeanolue, Echezona Edozie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 7th, 2023 - 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 1598743254 NPPES
Nevada MEDICAID 100506925
Nevada Other CS13694

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