Individual
OLUWATOSIN PHILIP IGENOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
1430 TULANE AVE # 8025, NEW ORLEANS, LA 70112-2632
(504) 988-0745
Mailing address
1430 TULANE AVE # 8025, NEW ORLEANS, LA 70112-2632
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
208D00000X
General Practice Physician
Primary
346663
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2020
Last updated
05/29/2025
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