Individual
NKOLI ANIGBOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 KENDALL DR STE F, SAN BERNARDINO, CA 92407-4125
(909) 352-6655
(909) 352-6770
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-4470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084495A
IN
207R00000X
Internal Medicine Physician
35-0803901-A
OH
207R00000X
Internal Medicine Physician
C170662
CA
208M00000X
Hospitalist Physician
Primary
35.083901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500574
—
OH
Enumeration date
10/05/2006
Last updated
05/05/2023
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