Inongo D. Agbormbai, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newark, DE
NPI 1497515654 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1497515654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-2200 - Phone
- (302) 733-1000
- NPI assigned
- Mar 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423002317 | DE | Order and Referring Only - Emergency Medicine |
6608215611 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000
Other practice location 1
501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 733-1000
Other providers in Newark, DE
- Muhammad Khurram Afzal
- Agape Heath Care LLC
- Agape Home Care Services LLC
- Reynold S Agard
- Raphael Agbor-Enoh
- Awanwosa Valentine Agho
- Janelle Agnew
- Demetrios J Agriantonis
- Mansoor Ahmad
- Sajjad Ahmad
All providers in Newark, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.