Provider Demographics
NPI:1700969615
Name:OSEGBUE-OBASI, FRANCESCA CHINWE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCESCA
Middle Name:CHINWE
Last Name:OSEGBUE-OBASI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCESCA
Other - Middle Name:CHINWE
Other - Last Name:OSEGBUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:OK
Mailing Address - Zip Code:73932-0640
Mailing Address - Country:US
Mailing Address - Phone:580-625-3477
Mailing Address - Fax:580-625-3562
Practice Address - Street 1:718 AVE A
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:OK
Practice Address - Zip Code:73932-0640
Practice Address - Country:US
Practice Address - Phone:580-625-3477
Practice Address - Fax:580-625-3562
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12389207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200073700AMedicaid
G84335Medicare UPIN
OK243603803Medicare ID - Type Unspecified