Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A165734 | CA |
Y | 111NI0900X | Internist | A165734 | CA |
NPI | 1003304866 |
---|---|
Provider Name | Michael Uzoma Ohabughiro |
First Address | Oakland, CA 94602-1018 |
Second Address | Oakland, CA 94602-1018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2018 |
Last Update Date | 12/07/2021 |