Individual
GODWIN C IZUEGBUNAM
Active
Individual
GODWIN C IZUEGBUNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504308
—
NV
05
—
793837
—
AZ
01
—
AZ0758850
BCBS OF AZ
AZ
01
—
P00160135
RAILROAD MEDICARE
CA
01
—
XPY201416
MEDI CAL
CA
Enumeration date
04/20/2006
Last updated
09/24/2025
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