Individual
RUBY AMAKU IBEKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3923 CONVENTION STREET, BATON ROUGE, LA 70806
(225) 381-6474
(225) 336-2958
Mailing address
PO BOX 67054, BATON ROUGE, LA 70896
(225) 381-6474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L10582R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1988839
—
LA
Enumeration date
11/10/2006
Last updated
07/08/2007
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