Provider Demographics
NPI:1396913901
Name:EMMANUEL N ORIAHI MD PA
Entity type:Organization
Organization Name:EMMANUEL N ORIAHI MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-868-0029
Mailing Address - Street 1:8145 HIGHWAY 6 S
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5763
Mailing Address - Country:US
Mailing Address - Phone:832-328-4104
Mailing Address - Fax:832-328-4162
Practice Address - Street 1:8145 HIGHWAY 6 S
Practice Address - Street 2:SUITE 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5763
Practice Address - Country:US
Practice Address - Phone:832-328-4104
Practice Address - Fax:832-328-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-16
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6023174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0092HLOtherBCBS
TXPO0343420OtherMEDICARE RAILROAD
TX00729TMedicare PIN
TX0092HLOtherBCBS