# KELECHI FIDELIS OMEONU

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

## Provider details

- **NPI number:** 1104349372
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA12029300 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | 332562 | NY | — |
| 207R00000X | Internal Medicine Physician | MD23369 | ME | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT214535 | PA | — |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 11/30/2024