Individual
DR. OSARENREN OGBEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 322-2947
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E4027
AR
207RH0003X
Hematology & Oncology Physician
23549
MS
207RH0003X
Hematology & Oncology Physician
Primary
768803
TN
207RH0003X
Hematology & Oncology Physician
E-4027
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155337001
—
AR
Enumeration date
02/14/2006
Last updated
06/01/2022
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