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Individual

DR. BERNARD KENECHUKWU EZIGBO

Active
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Individual

DR. BERNARD KENECHUKWU EZIGBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101263562
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01080451
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52579
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N9851
TX
208M00000X
Hospitalist Physician
089378
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304879501
TX
01
752616977042
TRICARE
TX
01
8BC408
BCBS
TX
Enumeration date
08/23/2007
Last updated
01/26/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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