Most Relevant Information
Provider Data
| NPI Number: | 1003557554 |
| Provider Name: | GRACE ESOHE OSAGIE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2022 |
| Last Updated: | 04/06/2022 |
Provider Practice Location
550 S JACKSON ST DEPT OF
LOUISVILLE
KY
402021622
Practice Location Phone/Fax
| Phone: | 5028521895 |
| Fax: |
Provider Mailing Location
550 S JACKSON ST DEPT OF
LOUISVILLE
KY
402021622
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |