Dr. Emmanuel Nosa Obanor, DO
Internal Medicine, Gastroenterology in Lodi, CA. Individual provider (NPI-1).
NPI number1689615007
StatusActive
Last updated in NPPESApr 4, 2017
Details
- NPI
- 1689615007
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emmanuel Nosa Obanor
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2006
- Last updated
- Apr 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 20A6988 | CA | Yes |
| 207R00000X | Internal Medicine | 20A6988 | CA |
Practice location
999 S Fairmont AveSuite 125
Lodi, CA 95240-5100
Phone 209-334-8514 · Fax 209-366-2661
Mailing address
Po Box 241011Lodi, CA 95241-9511
Phone 209-339-7435 · Fax 209-333-3054
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All 8 Gastroenterology Physician providers in Lodi · All 1,321 providers in Lodi
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