Organization Active NPI

Ikechukwu Obih, MD PLLC

  • Clinical Neurophysiology Physician
  • Austin, TX
National Provider Identifier
1922509983
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
P8963 Issued in TX
Legal business name
IKECHUKWU OBIH, MD PLLC
Practice address
4207 Burnet Rd
Austin, TX 78756-3316
Phone
(512) 706-1900
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ikechukwu John Obih, MD
Title
Owner
Phone
(504) 606-3922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X P8963 TX Primary

Addresses

Primary practice location

4207 Burnet Rd
Austin, TX 78756-3316

Mailing address

2301 Alayna CV
Austin, TX 78754-5622
Phone (504) 606-3922

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1922509983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ALAYNA CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545622",
            "telephone_number": "504-606-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563316",
            "telephone_number": "512-706-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKECHUKWU OBIH, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "OBIH",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-606-3922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "P8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.