Eseroghene Otah is a Surgery in Sugar Land, Texas. Eseroghene Otah practices all healthcare services and medical treatments related to Surgery. The NPI Number for Eseroghene Otah is 1477541621. The last update date is 2012-01-19.
Eseroghene Otah's current location address is 138 Eldridge Rd, Sugar Land, Texas. You can contact this provider via phone number 2812323886 and fax number 2812323986. The mailing address for Eseroghene Otah is 138 Eldridge Rd, Sugar Land, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eseroghene Otah |
|---|---|
| Address | 138 Eldridge Rd, Sugar Land, Texas |
| Phone Number | 2812323886 |
| Fax Number | 2812323986 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477541621 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 138 Eldridge Rd |
|---|---|
| City | Sugar Land |
| State | Texas (TX) |
| Post Code | 774784083 |
| Phone Number | 2812323886 |
| Fax Number | 2812323986 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | L6554 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1663841 | TX | -- | |
| 1703076 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eseroghene Otah by the Centers for Medicare & Medicaid Services (CMS)?
The Eseroghene Otah has been assigned the NPI (National Provider Identifier) 1477541621. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Eseroghene Otah is physically located?
The Eseroghene Otah is physically situated at the following address: 138 Eldridge Rd, Sugar Land, TX, 774784083.
What is Eseroghene Otah's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eseroghene Otah's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Eseroghene Otah receive the assignment of its 1477541621 from the Centers for Medicare & Medicaid Services?
The Eseroghene Otah was issued its 1477541621 by the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date were the Eseroghene Otah's details last updated?
The information pertaining to the Eseroghene Otah, including its address, specialty, and other details, was most recently updated on 2012-01-19.