Provider Demographics
NPI:1811166721
Name:AMAKIRI, ONYEMA E (DO)
Entity type:Individual
Prefix:
First Name:ONYEMA
Middle Name:E
Last Name:AMAKIRI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 LOMALAND
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-7652
Mailing Address - Country:US
Mailing Address - Phone:915-317-5553
Mailing Address - Fax:915-593-3434
Practice Address - Street 1:1556 LOMALAND DR STE 101
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4202
Practice Address - Country:US
Practice Address - Phone:915-317-5553
Practice Address - Fax:915-593-3434
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8488207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine