Individual
MR. EMMANUEL SOKPONWU IBHAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 222-3000
Mailing address
6201 GREENLEIGH BUILDING, BALTIMORE, MD 21220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R192422
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R192422
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090890800
—
MD
Enumeration date
01/28/2015
Last updated
12/08/2021
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