Izuora, Kenneth Ejikeme
Izuora, Kenneth Ejikeme is an individual health care provider with primary practice located at 1707 W Charleston Blvd Ste 290 , Las Vegas NV 89102-2353. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Izuora, Kenneth Ejikeme can be contacted via phone (702) 671-5070.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 290
Las Vegas NV 89102-2353
Phone: (702) 671-5070
Fax: (702) 671-5198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 061267 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50418-020 | Wisconsin |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 13512 | Nevada |
Profile Details
| NPI number | 1023167525 |
|---|---|
| LBN Legal business name | Izuora, Kenneth Ejikeme |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | May 28th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023167525 | NPPES |
| Nevada | MEDICAID | 100500484GROUP |
Popular Providers
-
Kannan, Chakravarthy R
5701 W Charleston Blvd Ste 100 , Las Vegas NV 89146-1256 -
Tomasic, Paul
9260 W Sunset Rd Ste 207 Ste. 207, Las Vegas NV 89148-4903 -
Gould, Barry
4750 W Oakey Blvd Ste 3A , Las Vegas NV 89102 -
Thompson, Prentice
500 S Rancho Dr Suite 12, Las Vegas NV 89106-4844 -
Abdelnour, Shadi
1707 W Charleston Blvd 200, Las Vegas NV 89102-2351 -
Rubin, Elyiahu
500 S Rancho Dr Suite12, Las Vegas NV 89106-4844 -
Moktan Sheikhai, Sabita
4475 S Eastern Ave , Las Vegas NV 89119 -
Seibel, John A
4750 W Oakey Blvd Ste 4C, Las Vegas NV 89102-1535