Individual
CELESTINA I. IHEANACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01091247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300080496
—
IN
Enumeration date
05/11/2006
Last updated
10/02/2023
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