Ezinma Ezealah is a Allergy in Greenville, South Carolina. Ezinma Ezealah practices all healthcare services and medical treatments related to Allergy. The NPI Number for Ezinma Ezealah is 1588866479. The last update date is 2015-01-21.
Ezinma Ezealah's current location address is 135 Commonwealth Dr, Greenville, South Carolina. You can contact this provider via phone number 8642970080 and fax number 8642974588. The mailing address for Ezinma Ezealah is 135 Commonwealth Dr, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ezinma Ezealah |
|---|---|
| Address | 135 Commonwealth Dr, Greenville, South Carolina |
| Phone Number | 8642970080 |
| Fax Number | 8642974588 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588866479 |
|---|---|
| Provider Enumeration Date | 2007-06-03 |
| Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
| Address | 135 Commonwealth Dr |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296154831 |
| Phone Number | 8642970080 |
| Fax Number | 8642974588 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | MD37517 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SC45168157 | SC | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ezinma Ezealah?
The Ezinma Ezealah has been issued the NPI (National Provider Identifier) 1588866479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ezinma Ezealah is physically located?
The Ezinma Ezealah is situated at the following address: 135 Commonwealth Dr, Greenville, SC 296154831.
What is Ezinma Ezealah's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ezinma Ezealah is Allergy, and the taxonomy classification code that categorizes this area of expertise is 207Ka0200X.
On what date did the Ezinma Ezealah receive its 1588866479 assignment from the Centers for Medicare & Medicaid Services?
The Ezinma Ezealah was assigned its 1588866479 by the Centers for Medicare & Medicaid Services on 2007-06-03.
As of what date were the details related to Ezinma Ezealah most recently updated or revised?
The information pertaining to Ezinma Ezealah, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-21.