Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 57.024120 | OH |
Y | 111NI0900X | Internist | 57.024120 | OH |
NPI | 1003224577 |
---|---|
Provider Name | Mrs. Efewongbe Benedicta Oleghe |
First Address | Cleveland, OH 44115 |
Second Address | Cleveland, OH 44115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2014 |
Last Update Date | 29/07/2014 |