Individual
DR. ORANU G IBEKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1574 E 85TH AVE, MERRILLVILLE, IN 46410-8900
(219) 769-4400
(219) 795-1419
Mailing address
PO BOX 10746, MERRILLVILLE, IN 46411-0746
(219) 769-4400
(219) 795-1419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054231A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
01054231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333030
—
IN
01
—
C174871
CALIFORNIA STATE LICENSE
CA
Enumeration date
01/31/2006
Last updated
11/24/2021
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