Provider Demographics
NPI:1457704355
Name:ABARIBE, OBINNA IKECHUKWU (MD)
Entity Type:Individual
Prefix:MR
First Name:OBINNA
Middle Name:IKECHUKWU
Last Name:ABARIBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 MATLOCK RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6889
Mailing Address - Country:US
Mailing Address - Phone:817-583-9955
Mailing Address - Fax:817-539-9553
Practice Address - Street 1:350 MATLOCK RD STE 201
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6889
Practice Address - Country:US
Practice Address - Phone:817-583-9955
Practice Address - Fax:817-539-9553
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU6179207R00000X, 207RI0200X
IL125068730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease