# DR. BENNET IFEAKANDU OMALU

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

## Provider details

- **NPI number:** 1346467370
- **Gender:** Man
- **Credential:** M.D., M.B.A., M.P.H.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | C52868 | CA | Yes |
| 207ZC0006X | Clinical Pathology Physician | C52868 | CA | — |
| 207ZF0201X | Forensic Pathology Physician | C52868 | CA | — |
| 207ZN0500X | Neuropathology Physician | C52868 | CA | — |
| 207ZP0101X | Anatomic Pathology Physician | C52868 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | C52868 | CA | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | C52868 | CA | — |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 03/23/2020