Provider Demographics
NPI:1225113814
Name:OHAJEKWE, OGEDI A (MD)
Entity Type:Individual
Prefix:DR
First Name:OGEDI
Middle Name:A
Last Name:OHAJEKWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 OVERHILL RD STE 355
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5338
Mailing Address - Country:US
Mailing Address - Phone:914-725-1036
Mailing Address - Fax:914-668-1611
Practice Address - Street 1:145 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1269
Practice Address - Country:US
Practice Address - Phone:914-668-2266
Practice Address - Fax:914-668-1611
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1930382086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01491161Medicaid