Individual
DR. KENECHI ANIKWE OBETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 30 E APPLE ST, SUITE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101273731
VA
207R00000X
Internal Medicine Physician
35096931
OH
207R00000X
Internal Medicine Physician
PENDING
GA
208M00000X
Hospitalist Physician
Primary
35.096931
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052178
—
OH
Enumeration date
02/02/2011
Last updated
05/05/2023
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