Osita Victor Ezeakudo
M.D. | Pediatrics | Male
Osita Victor Ezeakudo, M.D. is a Fort Wayne, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Osita Victor Ezeakudo is
2510 E Dupont Rd, Suite 200, Fort Wayne, Indiana - 46825-1601. He can be contacted on phone at
260-432-4913 and fax number 260-969-6832.
Osita Victor Ezeakudo is a sole proprietor of his business.
NPI number (Unique professional ID) for Osita Victor Ezeakudo is
1013078351 which was assigned by NPPES on 12 Dec, 2006 and it was last updated on 31 Jan, 2018.
Osita Victor Ezeakudo license number is
01065437A for Pediatrics (208000000X) in Indiana.
Osita Victor Ezeakudo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Osita Victor Ezeakudo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Osita Victor Ezeakudo |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Osita Victor Ezeakudo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2510 E Dupont Rd, Suite 200
Fort Wayne, IN, 46825-1601
United States |
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| Phone Number : | 260-432-4913 |
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| Fax Number : | 260-969-6832 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013078351 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Dec, 2006 |
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| Last Updated On : | 31 Jan, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Osita Victor Ezeakudo are as mentioned. Primary taxonomy code for Osita Victor Ezeakudo, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01065437A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Osita Victor Ezeakudo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200910310 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2518 E Dupont Rd
Fort Wayne, IN, 46825-1675
United States |
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| Phone Number : | 260-432-4400 |
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| Fax Number : | 260-969-6833 |
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Business Location:
Patients can refer following map for directions to
Osita Victor Ezeakudo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.