National Provider Identifier Database

IBANGA M EKANEM, MD – NPI #1710085824
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

IBANGA M EKANEM, MD
100 PADUCAH DR
NEW MARTINSVILLE, WV26155
Phone: 304-455-3611
Fax: 304-455-1778
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for IBANGA M EKANEM

NPI Number 1710085824
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 04/18/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • WV License #: 19922
  • WV Medicaid: 1801553000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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