Active NPIIndividual providerSole proprietor

Otitodilichukwu K Osadebe, DO

Internal Medicine in Lancaster, Pennsylvania

NPI Number1063086023
Practice location
2160 State RD, Lancaster, PA 17601-1812
Fax
—
Last updated
June 5, 2025

Otitodilichukwu Kelvin Osadebe is an Internal Medicine based in Lancaster, PA. Otitodilichukwu Kelvin Osadebe practices in Lancaster, PA and has the professional credentials of DO. The NPI Number for Otitodilichukwu Kelvin Osadebe is 1063086023 and holds a License No. OS024846 (PA). The current practice location address for Otitodilichukwu Kelvin Osadebe is 2160 State RD, Lancaster, PA 17601-1812 and can be reached out via phone at 223-287-9000.

Provider Profile Details

NPI Number
1063086023
Provider Name
Otitodilichukwu Kelvin Osadebe
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2160 State RD, Lancaster, PA 17601-1812
Phone Number
223-287-9000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2021
Last Update Date
June 5, 2025
Certification Date
June 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2160 State RD
Lancaster, PA 17601-1812
Zip
17601-1812
Phone Number
223-287-9000
Lancaster, PA 17601Get directions →

Provider Business Mailing Address Details

Address
1505 W Sherman Ave
Vineland, NJ 08360-7059
City
Vineland
State
NJ
Zip
08360-7059
Phone Number
973-842-6076

License Information

License Number (2)
OS024846
License State (2)
PA
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Otitodilichukwu K Osadebe, DO?

The NPI number of Otitodilichukwu K Osadebe, DO is 1063086023. It was assigned on May 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Otitodilichukwu K Osadebe, DO?

Otitodilichukwu K Osadebe, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number OS024846.

Where does Otitodilichukwu K Osadebe, DO practice?

The practice location is 2160 State RD, Lancaster, PA 17601-1812. The office can be reached at 223-287-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063086023 directly on the NPPES registry website.

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