Most Relevant Information
Provider Data
| NPI Number: | 1003069766 |
| Provider Name: | IJEOMA NNODIM OPARA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 4301092567 |
Most Important Dates
| Enumeration Date: | 10/28/2008 |
| Last Updated: | 07/22/2020 |
Provider Practice Location
4201 ST. ANTOINE STE 6A & 6B
GENERAL MEDICINE AMBULATORY PRACTICE
DETROIT
MI
482011804
Practice Location Phone/Fax
| Phone: | 3137454627 |
| Fax: | 3139667305 |
Provider Mailing Location
400 MACK AVE STE 2
DETROIT
MI
482012136
Provider Mailing Phone/Fax
| Phone: | 3134489006 |
| Fax: | 3139667305 |
Suggested EMR
Pediatrics EMR