Dr. Jennifer Ezirike Ladipo, M.D
Pediatrics, Pediatric Gastroenterology in Cypress, TX. Individual provider (NPI-1).
NPI number1912240201
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1912240201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Ezirike Ladipo
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2013
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | S6834 | TX | Yes |
| 207PP0204X | Emergency Medicine, Pediatric Emergency Medicine | C1-0012984 | DE | |
| 208000000X | Pediatrics | D81212 | MD | |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 0101270705 | VA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
27700 Northwest Fwy Ste 355Cypress, TX 77433-7749
Phone 812-456-4575 · Fax 812-940-2665
Mailing address
3023 Hamaker Ct Ste 600Fairfax, VA 22031-2241
Phone 703-876-2788 · Fax 703-839-8760
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