Individual
DR. ENANORE E OKUMAGBA
Active
Individual
DR. ENANORE E OKUMAGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01069813
IN
207R00000X
Internal Medicine Physician
2009-01946
NC
208M00000X
Hospitalist Physician
2009-01946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000723422
ANTHEM PIN
IN
01
—
148P3
BLUE CROSS OF FL
FL
05
—
201026800
—
IN
Enumeration date
11/07/2009
Last updated
12/06/2011
Update your record
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