Individual
IKENNA I EZUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 WASHINGTON RD STE 205, WESTMINSTER, MD 21157-5780
(410) 386-9099
(410) 386-9098
Mailing address
826 WASHINGTON RD STE 205, WESTMINSTER, MD 21157-5780
(410) 386-9099
(410) 386-9098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10655
ND
207R00000X
Internal Medicine Physician
D0066394
MD
207RN0300X
Nephrology Physician
Primary
D0066394
MD
Other
Enumeration date
07/30/2007
Last updated
06/29/2019
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