| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OMOEFE IBHABODE EBHOHIMEN | 1942942891 | 2023-02-12 |
Omoefe Ibhabode Ebhohimen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942942891. Registration indicates Omoefe Ibhabode Ebhohimen is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Omoefe Ibhabode Ebhohimen MD |
| Practice Office Address | 450 CLARKSON AVE BROOKLYN, NY US |
| Practice Office Telephone | 7182453318 |
| Mailing Address | 450 CLARKSON AVE BROOKLYN, NY 112032012 US |
| Business Telephone | 7182453318 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |