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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IBANGA MICHAEL EKANEM, MD

Active

IBANGA MICHAEL EKANEM, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in NEW MARTINSVILLE, West Virginia. NPI 1710085824 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · NEW MARTINSVILLE, WV

Registration Details

NPI Number
1710085824
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.927986949279 yrs)
Last Updated
Apr 18, 2022
License
19922 (WV)

Practice Information

Address
100 PADUCAH DR
NEW MARTINSVILLE, WV, 26155
Browse WV providers · Browse ZIP 26155
Phone
3044553611
Fax
3044551778
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
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.