Provider Demographics
NPI:1922509983
Name:IKECHUKWU OBIH, MD PLLC
Entity Type:Organization
Organization Name:IKECHUKWU OBIH, MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IKECHUKWU
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:OBIH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-606-3922
Mailing Address - Street 1:2301 ALAYNA CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5622
Mailing Address - Country:US
Mailing Address - Phone:504-606-3922
Mailing Address - Fax:
Practice Address - Street 1:4207 BURNET RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3316
Practice Address - Country:US
Practice Address - Phone:512-706-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP89632084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty