Individual
KELECHI NNEOMA IHEAGWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD. SUITE 103, PEDIATRIC INTENSIVISTS OF LA, BATON ROUGE, LA 70808
(225) 767-6700
(225) 767-6721
Mailing address
7777 HENNESSY BLVD. SUITE 103, PEDIATRIC INTENSIVISTS OF LA, BATON ROUGE, LA 70808
(225) 767-6700
(225) 767-6721
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
203143
LA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
203143
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1886394
—
LA
Enumeration date
01/04/2007
Last updated
08/09/2024
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