National Provider Identifier
Emmanuel A Omoba, MD
Emmanuel A Omoba, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1346342342
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- September 01, 2006
- Last Updated
- August 29, 2024
Practice Location
- Elm And Carlton St
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Mailing Address
- 509 W University Ave
- Urbana, IL 61801-1645
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Diagnostic Radiology Physician (2085R0202X)
Endpoints
- eomoba147828@direct.luhs.org
Direct Messaging Address | Direct | Loyola University Medical Center | Maywood, IL 60153
Full Record
- NPI
- 1346342342
- Entity Type
- Individual
- Last Name
- Omoba
- First Name
- Emmanuel
- Middle Name
- A
- Credential
- MD
- Mailing Street Address
- 509 W University Ave
- Mailing City
- Urbana
- Mailing State
- IL
- Mailing ZIP Code
- 61801-1645
- Mailing Country
- US
- Mailing Phone
- (715) 615-2078
- Practice Street Address
- Elm And Carlton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Practice Fax
- (716) 845-3549
- Enumeration Date
- September 01, 2006
- Last Updated
- August 29, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 32447500 (WI)