Individual
DR. IHEANACHO EMERUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9041 MAGNOLIA AVE, SUITE 305, RIVERSIDE, CA 92503-3900
(951) 343-3477
(951) 347-8343
Mailing address
9041 MAGNOLIA AVE, SUITE 305, RIVERSIDE, CA 92503-3900
(951) 343-3477
(951) 347-8343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A41038
CA
207VX0000X
Obstetrics Physician
Primary
A41038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A410380
—
CA
01
—
ZZZ28499Z
MEDICARE PTAN #
CA
Enumeration date
06/20/2005
Last updated
06/30/2021
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