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Contact Information

OBIAGELI C EZEWUIRO, MD
7848 GATEWAY BLVD E
EL PASO, TX79915-1815
 Phone: 915-599-1313
 Fax: 915-599-1701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OBIAGELI C EZEWUIRO · (Female)

NPI Number 1518128149
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2008
Last updated 01/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 11013729A
  • IN License # 01069645A
  • KY License # TP954
  • TX License # S6610
  • TX Medicaid 417903801
Hospital affiliation(s)
  • SIERRA PROVIDENCE EAST MEDICAL CENTER - (Acute Care)
    3280 JOE BATTLE BLVD
    EL PASO, TX 79938
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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