Ikediobi, Okwuolisa Amechi

Ikediobi, Okwuolisa Amechi is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111-2434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ikediobi, Okwuolisa Amechi can be contacted via phone (215) 728-2844.

Contact Information

Primary practice address
333 Cottman Ave Philadelphia PA 19111-2434
Phone: (215) 728-2844
Fax: (215) 214-1425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD444511 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD444511 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44375 Kentucky

Profile Details

NPI number 1326203035
LBN Legal business name Ikediobi, Okwuolisa Amechi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated May 24th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326203035 NPPES
Tennessee Other VAD000 FEDERAL UPIN

Popular Providers