Individual
DR. JOLOMI T IKOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
501 W 14TH ST STE 3N74, WILMINGTON, DE 19801-1013
(302) 320-2963
(302) 320-4934
Mailing address
501 W 14TH ST STE 3N74, WILMINGTON, DE 19801-1013
(513) 536-4673
(513) 536-0609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0012194
DE
2084P0802X
Addiction Psychiatry Physician
C1-0012194
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
008003745
—
CT
05
—
008039745
—
CT
05
—
008043119
—
CT
Enumeration date
05/07/2008
Last updated
07/21/2022
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