Individual
AKAOLISA SAMUEL EZIOKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4435 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 542-3030
Mailing address
4435 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 542-3030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.134475
OH
207R00000X
Internal Medicine Physician
57.027608
OH
207RH0003X
Hematology & Oncology Physician
Primary
35.134475
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173392
—
OH
Enumeration date
07/04/2016
Last updated
07/29/2024
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