Individual provider · NPI-1
Dr. Eboselume Otibhor Akhuemonkhan, M.D.
Hospitalist · Bethlehem, PA
NPI number1932632007
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1932632007
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eboselume Otibhor Akhuemonkhan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2017
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD48950 | PA | Yes |
| 207R00000X | Internal Medicine | 0101269944 | VA | |
| 207R00000X | Internal Medicine | MD48950 | PA | |
| 208M00000X | Hospitalist | 0101269944 | VA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2545 Schoenersville RdBethlehem, PA 18017-7300
Phone 484-884-9677
Mailing address
2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Other practice locations
2800 Godwin Blvd Fl 1
Suffolk, VA 23434-8038
Suffolk, VA 23434-8038
Phone 757-934-4821 · Fax 757-934-4276
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