| Doctor Name: | IFEANYI GODWIN OBIORA |
| NPI Number: | 1225222300 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ETC |
| License Number: | 2007603652 |
| Business Practice Address: | 1423 Capital Trail Suit 3103 Newark, DE - 197115745 |
| Business Phone Number: | 3023667400 |
| Business Fax Number: | 3023667500 |
| Mailing Address: | Drummond Plaza Office Park, Suit 3103 NEWARK |
| State: | DE |
| Postal Code: | 197115745 |
| Phone Number: | 3023667400 |
| Fax Number: | 3023667500 |
| NPI Enumeration Date: | 08/31/2007 |
| NPI Last Update Date: | 08/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 2007603652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |