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Individual

DR. EDIDIONG NSIDIBE IKPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7236 AMIGO AVE, RESEDA, CA 91335-8108
(203) 500-5317
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 365-0966

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
065466
GA
207R00000X
Internal Medicine Physician
A99823
CA

Other

Enumeration date
10/15/2008
Last updated
04/13/2022
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