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Individual

DR. EMMANUEL OBINNA OGBODO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5706 SARAGOSA DR, RICHMOND, TX 77469-6166
(917) 972-7787
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017004930
MO
207R00000X
Internal Medicine Physician
P8168
TX

Other

Enumeration date
01/25/2012
Last updated
01/20/2021
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