Provider Demographics
NPI:1518083872
Name:EKEH, OBIAGERI THELMA (MD)
Entity Type:Individual
Prefix:DR
First Name:OBIAGERI
Middle Name:THELMA
Last Name:EKEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2355
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:2040 W CHARLESTON BLVD
Practice Address - Street 2:402
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2227
Practice Address - Country:US
Practice Address - Phone:702-671-2345
Practice Address - Fax:702-671-2233
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2013-07-02
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Provider Licenses
StateLicense IDTaxonomies
NV13139208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500484 GROUPMedicaid
NVVWQBHVMedicare PIN