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Iyare Idiakhoa, MD
Student in an Organized Health Care Education/Training Program in Fairhope, Alabama
NPI 1174208193

Iyare Idiakhoa is a Student in an Organized Health Care Education/Training Program based in Fairhope, AL. Iyare Idiakhoa practices in Fairhope, AL and has the professional credentials of MD. The NPI Number for Iyare Idiakhoa is 1174208193 and holds a License No. (Alabama).

The current practice location address for Iyare Idiakhoa is 188 Hospital Dr Ste 402, Fairhope, AL and can be reached out via phone at 251-279-1245 and via fax at 251-279-1247.

Location: 188 Hospital Dr Ste 402, Fairhope, AL, 36532-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174208193
Provider Name
Iyare Idiakhoa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
188 Hospital Dr Ste 402, Fairhope, AL, 36532-2018
Phone Number
251-279-1245
Fax Number
251-279-1247
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
188 Hospital Dr Ste 402
City
Fairhope
State
Alabama
Zip
36532-2018
Phone Number
251-279-1245
Fax Number
251-279-1247
person
Provider Business Mailing Address Details
Address
188 Hospital Dr Ste 402
City
Fairhope
State
Alabama
Zip
36532-2018
Phone Number
251-279-1245
Fax Number
251-279-1247
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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