ENANORE E OKUMAGBA

INDIANAPOLIS, IN
NPI1588991855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01069813)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NC  2009-01946)
208M00000X Hospitalist
(Licence: NC  2009-01946)
Enumeration Date2009-11-07
Last Update Date2011-12-06
Business Address
Dr. ENANORE E OKUMAGBA M.D.
5751 UNIVERSITY AVE #108 BOX 410
INDIANAPOLIS, IN 46219-7222
Phone number: 317-927-1761
Mailing Address
Dr. ENANORE E OKUMAGBA M.D.
950 N. MERIDIAN STREET PROVIDER ENROLLMENT SUITE 500
INDIANAPOLIS, IN 46204-3908
Phone number: 317-962-4944
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