Individual
OBIORA EZEUDEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(800) 821-1535
Mailing address
2800 MAIN ST DEPT OF, BRIDGEPORT, CT 06606-4201
(475) 210-5791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202401697
NC
207R00000X
Internal Medicine Physician
92025
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920258
—
SC
Enumeration date
03/24/2021
Last updated
01/16/2026
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