Individual
OSAYAME AUSTINE EKHAGUERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BS, MD, MPH
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-4758
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01079516A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01079516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013758
—
IN
01
—
815500571
MEDICARE PTAN
IN
Enumeration date
04/18/2012
Last updated
02/13/2026
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