Active NPIIndividual provider

Obiora Ezeudemba, MD

Internal Medicine in Shelby, North Carolina

NPI Number1558948778
Practice location
201 E Grover St, Shelby, NC 28150-3917
Fax
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Last updated
January 16, 2026

Obiora Ezeudemba is an Internal Medicine based in Shelby, NC. Obiora Ezeudemba practices in Shelby, NC and has the professional credentials of MD. The NPI Number for Obiora Ezeudemba is 1558948778 and holds a License No. 202401697 (NC). The current practice location address for Obiora Ezeudemba is 201 E Grover St, Shelby, NC 28150-3917 and can be reached out via phone at 800-821-1535.

Provider Profile Details

NPI Number
1558948778
Provider Name
Obiora Ezeudemba
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 E Grover St, Shelby, NC 28150-3917
Phone Number
800-821-1535
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Other Names
Obiora Chimaobi Ezeudemba (Other Name)
Provider Enumeration Date
March 24, 2021
Last Update Date
January 16, 2026
Certification Date
January 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 E Grover St
Shelby, NC 28150-3917
City
Shelby
Zip
28150-3917
Phone Number
800-821-1535
Shelby, NC 28150Get directions →

Provider Business Mailing Address Details

Address
2800 Main St Dept Of
Bridgeport, CT 06606-4201
City
Bridgeport
State
CT
Zip
06606-4201
Phone Number
475-210-5791

License Information

License Number (1)
202401697
License State (1)
NC
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
92025
License State (2)
SC
Taxonomy (2)
Internal Medicine · 207R00000X

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 Obiora Ezeudemba, MD?

The NPI number of Obiora Ezeudemba, MD is 1558948778. It was assigned on March 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Obiora Ezeudemba, MD?

Obiora Ezeudemba, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NC under license number 202401697.

Where does Obiora Ezeudemba, MD practice?

The practice location is 201 E Grover St, Shelby, NC 28150-3917. The office can be reached at 800-821-1535 (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 1558948778 directly on the NPPES registry website.

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