Individual provider · Type 1 NPI
Ibanga Michael Ekanem, MD
Pediatric Adolescent Medicine Physician · New Martinsville, WV
NPI number
1710085824
Active
Practice location
100 Paducah Dr
New Martinsville, WV 26155
Fax (304) 455-1778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 19922 (WV) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3 other providers at this address
About NPI 1710085824
Ibanga Michael Ekanem, MD's National Provider Identifier is 1710085824, issued on Sep 20, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in New Martinsville, WV. The record was last updated on Apr 18, 2022.