Idahosa, Osamudiamen

Idahosa, Osamudiamen is an individual health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Idahosa, Osamudiamen can be contacted via phone (484) 526-3285.

Contact Information

Primary practice address
801 Ostrum St Bethlehem PA 18015-1000
Phone: (484) 526-3285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD432354 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT183290 Pennsylvania

Profile Details

NPI number 1174729784
LBN Legal business name Idahosa, Osamudiamen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jan 11th, 2023 - about 3 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 1174729784 NPPES
New Jersey Other 1754246 AETNA - HMO
New Jersey Other 338072 AETNA - HMO
New Jersey Other 91002708400 AETNA - HMO
New Jersey Other P00620721 AETNA - HMO
New Jersey Other 9031110 AETNA - HMO
New Jersey MEDICAID 0144436 AETNA - HMO

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