Provider Demographics
NPI:1558543264
Name:EMEKA O IROHA MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:EMEKA O IROHA MD A PROFESSIONAL CORPORATION
Other - Org Name:A P MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:O
Authorized Official - Last Name:IROHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-971-3400
Mailing Address - Street 1:PO BOX 30102
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84130-0102
Mailing Address - Country:US
Mailing Address - Phone:702-971-3400
Mailing Address - Fax:702-971-3401
Practice Address - Street 1:2110 E FLAMINGO RD STE 213
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5193
Practice Address - Country:US
Practice Address - Phone:702-971-3400
Practice Address - Fax:702-971-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1558543264Medicaid