Individual
OLUWATOSIN PHILIP IGENOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2451
(504) 842-3669
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2451
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
346663
LA
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
08/05/2026
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