Obiesie, Ndidiamaka Uzoma

Obiesie, Ndidiamaka Uzoma is an sole proprietor health care provider with primary practice located at 3330 N 2Nd St Ste 401 , Phoenix AZ 85012-2371. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Obiesie, Ndidiamaka Uzoma can be contacted via phone (602) 254-1136.

Contact Information

Primary practice address
3330 N 2Nd St Ste 401 Phoenix AZ 85012-2371
Phone: (602) 254-1136
Fax: (602) 279-1720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30584 Arizona
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 30584 Arizona

Profile Details

NPI number 1770579492
LBN Legal business name Obiesie, Ndidiamaka Uzoma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Dec 2nd, 2014 - about 12 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 1770579492 NPPES
Arizona MEDICAID 763062

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