Individual
DR. JENNIFER EZIRIKE LADIPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
27700 NORTHWEST FWY STE 355, CYPRESS, TX 77433-7749
(812) 456-4575
(812) 940-2665
Mailing address
3023 HAMAKER CT STE 600, FAIRFAX, VA 22031-2241
(703) 876-2788
(703) 839-8760
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C1-0012984
DE
208000000X
Pediatrics Physician
D81212
MD
2080P0206X
Pediatric Gastroenterology Physician
0101270705
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
S6834
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2013
Last updated
10/07/2024
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