OBIOMA IKENNA ILOUGA (NPI# 1922591700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591700 |
| Entity Type | Individual |
| Full Name | OBIOMA IKENNA ILOUGA |
| Credential | MD |
| Practice Address |
4864 Jackson Street Family Medicine Monroe LA 71210 |
| Practice Telephone | 3183307164 |
| Mailing Telephone | 3183307164 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4864 JACKSON STREET FAMILY MEDICINE |
| City | MONROE |
| State | LA |
| Zip Code | 71210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679583934 | Reem Mansour | Anesthesiology | 4864 Jackson Street, Monroe, LA 71202-6400 | 2006-08-09 |
| 1366070385 | Khaled Elias | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71202 | 2020-03-27 |
| 1245868264 | Yousaf Khan | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71202 | 2020-03-27 |
| 1194378125 | Bikash Poudel | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71202 | 2019-07-18 |
| 1871055731 | Kanika Sood | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71202 | 2019-04-01 |
| 1295212439 | Bhavani Merugu | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71210 | 2018-07-20 |
| 1225521008 | Sultan Mohammad Shah | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71210 | 2018-06-07 |
| 1942706387 | Sangita Yadav | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71210 | 2018-04-04 |
| 1205332798 | Phi V Nguyen | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71201 | 2018-04-03 |
| 1518463165 | Avilasha Jha | Student in an Organized Health Care Education/Training Program | 4864 Jackson Street, Family Medicine, Monroe, LA 71201 | 2018-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954199 | Louisiana Pain Care | Clinic/Center | 210 Layton Avenue, Suite 20, Monroe, LA 71210 | 2007-02-02 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1588293179 | John Braxton Phifer | Student in an Organized Health Care Education/Training Program | 7005 Fairview Ct, Monroe, NC 28110-8922 | 2020-04-06 |
| 1215588009 | Micaela Earle Kwochka | Student in an Organized Health Care Education/Training Program | 17 Sunrise Ter, Monroe, CT 06468-2925 | 2019-09-24 |
| 1346705407 | Jaclyn Ketterer | Student in an Organized Health Care Education/Training Program | 394 Old Dutch Hollow Rd, Monroe, NY 10950-4575 | 2019-02-04 |
| 1659860922 | Sonia Victoria Altavilla | Student in an Organized Health Care Education/Training Program | 246 Barn Hill Rd, Monroe, CT 06468-2015 | 2018-05-02 |
| 1477086254 | Mina Siddiqui | Student in an Organized Health Care Education/Training Program | 15 Del Mar Way, Monroe, NJ 08831-5823 | 2017-04-07 |
| 1346780384 | Amanda Vojta | Student in an Organized Health Care Education/Training Program | 9 Roanoke Dr, Monroe, NY 10950-2207 | 2017-02-23 |
| 1518326628 | Stephen Amburgey | Student in an Organized Health Care Education/Training Program | 221 Bethel Ln, Monroe, VA 24574-3114 | 2016-02-17 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1336418466 | Ashley Breanne Karow | Student in an Organized Health Care Education/Training Program | 3220 Parkwood School Rd, Monroe, NC 28112-0001 | 2011-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.