Individual
DR. KIM CHIEDOZI OHAEGBULAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
102-01 66TH RD, DEPARTMENT OF MEDICINE, FOREST HILLS, NY 11375
(718) 830-4000
Mailing address
102-01 66TH RD, DEPARTMENT OF MEDICINE, FOREST HILLS, NY 11375
(718) 830-4000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101277423
VA
Other
Enumeration date
03/23/2019
Last updated
07/23/2024
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