Individual provider · Type 1 NPI

Ebubechukwu Nnabuikem Obiora, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1104769629 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-6993 Map

Mailing address

94 Silver St
Elmont, NY 11003-3621

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104769629

Ebubechukwu Nnabuikem Obiora, MD's National Provider Identifier is 1104769629, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 10, 2026.