Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENNET IFEAKANDU OMALU, M.D., M.B.A., M.P.H.
ActiveDR. BENNET IFEAKANDU OMALU, M.D., M.B.A., M.P.H. is a 202C00000X healthcare provider located in SACRAMENTO, California. NPI 1346467370 is currently active in the NPPES registry. Verify at CMS.
202C00000X · SACRAMENTO, CA
Registration Details
- NPI Number
- 1346467370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.339665751768 yrs)
- Last Updated
- Mar 23, 2020
- Licenses
-
C52868 (CA)C52868 (CA)C52868 (CA)C52868 (CA)C52868 (CA)
Practice Information
- Address
-
4400 V STREETUNIVERSITY OF CALIFORNIA, DAVIS, MEDICAL CENTERSACRAMENTO, CA, 95817Browse CA providers · Browse ZIP 95817
- Phone
- 9167342525
- Fax
- 8664026875
- Primary Specialty
-
202C00000X
202C00000X
- Additional Specialty
- Forensic Pathology
- Additional Specialty
- Neuropathology
- Additional Specialty
- Anatomic Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.