Provider Demographics
NPI:1245200393
Name:OBIJIOFOR, OBIAGELI CLARE (MD)
Entity Type:Individual
Prefix:
First Name:OBIAGELI
Middle Name:CLARE
Last Name:OBIJIOFOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OBIAGELI
Other - Middle Name:
Other - Last Name:NEE UMEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16659 SOUTHWEST FWY
Mailing Address - Street 2:STE 371
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2375
Mailing Address - Country:US
Mailing Address - Phone:281-265-0760
Mailing Address - Fax:281-265-1240
Practice Address - Street 1:16659 SOUTHWEST FWY STE 371
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2375
Practice Address - Country:US
Practice Address - Phone:281-265-0760
Practice Address - Fax:281-265-1240
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3048207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00185638OtherRAILROAD MEDICARE
TX149458504Medicaid
TXP00185638OtherRAILROAD MEDICARE
TX8D1230Medicare PIN