Individual
DR. IFEANYI O ISAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17901 NW 5TH ST, SUITE 203, PEMBROKE PINES, FL 33029-2810
(954) 438-8085
(954) 438-8085
Mailing address
17901 NW 5TH ST, SUITE 203, PEMBROKE PINES, FL 33029-2810
(954) 438-8085
(954) 438-8086
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME98154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 98154
MEDICAL LICENSE
FL
Enumeration date
05/01/2007
Last updated
02/04/2020
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