Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 291931 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 35-07-5321-A | OH |
Y | 208D00000X | General Practice Physician | 291931 | NY |
N | 208D00000X | General Practice Physician | 35-07-5321-A | OH |
NPI | 1295722858 |
---|---|
Provider Name | Orduen Abunku |
First Address | West Chester, OH 45069-2769 |
Second Address | West Chester, OH 45069-2769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 29/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007854635 | AETNA (01) | OH |
023111 | UNITEDHEALTHCARE (01) | OH |
22000000331910 | BLUE CROSS AND BLUE SHIEL (01) | OH |
2360592 | (05) | OH |
H54992 | (02) | OH |