Individual
EMMANUEL A OMOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3549
Mailing address
509 W UNIVERSITY AVE, URBANA, IL 61801-1645
(715) 615-2078
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036085089
IL
2085R0202X
Diagnostic Radiology Physician
317782
NY
2085R0202X
Diagnostic Radiology Physician
33539
WI
2085R0202X
Diagnostic Radiology Physician
63114
MN
2085R0202X
Diagnostic Radiology Physician
M-2206
GU
2085R0202X
Diagnostic Radiology Physician
MD-44772
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32447500
—
WI
Enumeration date
09/01/2006
Last updated
08/29/2024
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