Individual provider · NPI-1
Dr. Nkemdi Edwin Agwaramgbo, MD
Hospitalist · Oakland, CA
NPI number1053998682
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1053998682
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nkemdi Edwin Agwaramgbo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2021
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | A195805 | CA | Yes |
| 207R00000X | Internal Medicine | A195805 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
350 Hawthorne Ave Rm 2346Oakland, CA 94609-3108
Phone 510-869-6883
Mailing address
325 Distel CirLos Altos, CA 94022-1408
Phone 510-869-6883
Other practice locations
231 Albert Sabin Way
Cincinnati, OH 45267-2827
Cincinnati, OH 45267-2827
Phone 513-558-5235
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