Provider Demographics
NPI:1093459158
Name:ORABUEZE, IJEOMA CHIMDINMA (MD)
Entity Type:Individual
Prefix:MISS
First Name:IJEOMA
Middle Name:CHIMDINMA
Last Name:ORABUEZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 READE PLACE, VASSAR BROTHERS MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3990
Mailing Address - Country:US
Mailing Address - Phone:845-790-1312
Mailing Address - Fax:
Practice Address - Street 1:45 READE PLACE, VASSAR BROTHERS MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3990
Practice Address - Country:US
Practice Address - Phone:845-790-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2023-03-07
Deactivation Date:2023-01-27
Deactivation Code:
Reactivation Date:2023-03-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program