Individual
OSITA VICTOR EZEAKUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 E DUPONT RD, SUITE 200, FORT WAYNE, IN 46825-1601
(260) 432-4913
(260) 969-6832
Mailing address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01065437A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200910310
—
IN
Enumeration date
12/12/2006
Last updated
01/14/2026
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