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Individual

OSATO O URHIAFE

Active
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Individual

OSATO O URHIAFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01087780A
IN
207L00000X
Anesthesiology Physician
Primary
309578
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102690069
ANTHEM PTAN
IN
05
300071820
IN
Enumeration date
04/05/2017
Last updated
11/25/2024
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