Ebubechukwu Nnabuikem Obiora, MD
Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).
NPI number1104769629
StatusActive
Last updated in NPPESApr 10, 2026
Details
- NPI
- 1104769629
- Entity type
- Individual (NPI-1)
- Name
- Ebubechukwu Nnabuikem Obiora
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2026
- Certification date
- Apr 10, 2026
- Last updated
- Apr 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
475 Seaview AveStaten Island, NY 10305-3436
Phone 718-226-6993
Mailing address
94 Silver StElmont, NY 11003-3621
Phone 516-603-9576
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