Individual
DENNIS ILOZULIKE ENEANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 W GIRARD AVE, PHILA, PA 19130-1400
(215) 685-0800
(215) 685-0846
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 926-9010
(215) 226-8286
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us