# DR. EHIMEMEN OJEABULU IBOAYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083626402
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 2006-00713 | NC | Yes |
| 207R00000X | Internal Medicine Physician | 2006-00713 | NC | — |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 01/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2006-00713 | STATE MEDICAL LICENSE | NC |