Individual
OSAZE EDO-OHONBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018019491
MO
207R00000X
Internal Medicine Physician
MT 185563
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2018019491
MO
207RP1001X
Pulmonary Disease Physician
2018019491
MO
208M00000X
Hospitalist Physician
01065638A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200908800
—
IN
Enumeration date
06/25/2008
Last updated
02/28/2023
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