Individual
DR. ROWLAND O. MBAOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 SUPERIOR AVE, FRANCISCAN PHYSICIANS HOSPITAL, MUNSTER, IN 46321-4037
(219) 922-4081
(219) 922-5880
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01060241A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200524370
—
IN
01
—
463060U5
MEDICARE
IN
Enumeration date
06/05/2006
Last updated
03/13/2021
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