Individual
DR. IKENNA IKECHUKWU IHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-02331
NC
207R00000X
Internal Medicine Physician
Primary
D090405
MD
208M00000X
Hospitalist Physician
2018-02331
NC
208M00000X
Hospitalist Physician
87858
SC
208M00000X
Hospitalist Physician
D090405
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018-02331
NC MEDICAL LICENSE
NC
Enumeration date
06/23/2015
Last updated
01/08/2024
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