Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. INNOCENT EGWUATU AGBASSI, M.D.
ActiveDR. INNOCENT EGWUATU AGBASSI, M.D. is a Adolescent Medicine healthcare provider located in LIVONIA, Michigan. NPI 1922053636 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LIVONIA, MI
Registration Details
- NPI Number
- 1922053636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.183141125888 yrs)
- Last Updated
- Jun 16, 2016
- License
-
4301075373 (MI)
Practice Information
- Address
-
15357 FARMINGTON RDSUITE 2LIVONIA, MI, 481542847Browse MI providers · Browse ZIP 48154
- Phone
- 7342663565
- Fax
- 7342663566
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.