Individual
DENNIS ILOZULIKE ENEANYA
Active
Individual
DENNIS ILOZULIKE ENEANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD041821L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278733
—
PA
01
—
0547376000
INDEPENDENCE BLUE CROSS
PA
01
—
1119230
KEYSTONE MERCY HEALTH
PA
01
—
1595
BRAVO HEALTH
PA
01
—
711224
HIGHMARK BLUE SHIELD
PA
01
—
P00037860
RAILROAD MEDICARE
PA
Enumeration date
12/15/2005
Last updated
07/18/2011
Update your record
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