Individual provider · NPI-1

Dr. Joseph Ifokwe, M.D

Radiology, Diagnostic Radiology · Eden Prairie, MN

NPI number1295171940
StatusActive
Last updated in NPPESMar 26, 2024

Details

NPI
1295171940
Entity type
Individual (NPI-1)
Name
Dr. Joseph Ifokwe
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2013
Certification date
Mar 18, 2024
Last updated
Mar 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyR6416TXYes
207R00000X Internal MedicineBP10046705TX
2085R0202X Radiology, Diagnostic Radiology2018-02685NC

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1100 · Fax 612-294-4903

Mailing address

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1100 · Fax 612-294-4903

Other practice locations

3949 Browning Pl
Raleigh, NC 27609-6536

Phone 919-787-7411 · Fax 919-789-4461

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