Provider Demographics
NPI:1245880426
Name:IMPERIAL DIGESTIVE HEALTH SPECIALISTS PLLC
Entity type:Organization
Organization Name:IMPERIAL DIGESTIVE HEALTH SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OFORBUIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:EWELUKWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-766-0331
Mailing Address - Street 1:23920 KATY FWY STE 215
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0881
Mailing Address - Country:US
Mailing Address - Phone:281-766-0331
Mailing Address - Fax:281-665-7915
Practice Address - Street 1:23920 KATY FWY STE 215
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0881
Practice Address - Country:US
Practice Address - Phone:281-766-0331
Practice Address - Fax:281-665-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty