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Individual
FORTUNATE EHI OVBIAGELE
Active
Individual
FORTUNATE EHI OVBIAGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00022241
AL
2084P0805X
Geriatric Psychiatry Physician
Primary
00022241
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942355
—
AL
01
—
051098107
BCBS INPATIENT
AL
01
—
051098108
BCBS OUTPATIENT
AL
05
—
051550185
—
AL
01
—
260050017
RAILROAD MEDICARE
AL
Enumeration date
07/21/2006
Last updated
11/17/2008
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