Individual
DR. OBIORA I UDEOZO
Active
Individual
DR. OBIORA I UDEOZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081531
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036168162
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301081531
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
51299
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
P1941
TX
207RN0300X
Nephrology Physician
P1941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295741701
—
TX
05
—
295741702
—
TX
05
—
295741703
—
TX
01
—
4301081531
STATE LICENSE
MI
05
—
ENROLLED
—
MN
Enumeration date
07/19/2006
Last updated
02/05/2024
Update your record
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