Individual
RAPHAEL NDUBUISI EZEAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4802 10TH AVE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219-2916
(718) 283-8000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63181
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
63181
TN
Other
Enumeration date
04/28/2016
Last updated
02/07/2025
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