National Provider Identifier
Victor Omamode Idahosa, MD
Victor Omamode Idahosa, MD is listed in the NPPES registry with a primary specialty of Addiction Medicine (Internal Medicine) Physician in Waverly, NY and a listed phone number of (607) 821-2444.
Source: public NPPES record, last updated May 10, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1528226677
- Provider Type
- Individual
- Primary Specialty
- Addiction Medicine (Internal Medicine) Physician
- Enumeration Date
- May 27, 2008
- Last Updated
- May 10, 2022
Practice Location
- 348 Broad St
- Waverly, NY 14892-1441
Phone: (607) 821-2444
Specialties
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)
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Biography
Dr. Victor Omamode Idahosa is an MD based in Waverly, New York. Reliable public sources do not appear to document additional professional background such as training history, hospital affiliation, faculty roles, research, leadership positions, or board certification.
Full Record
- NPI
- 1528226677
- Entity Type
- Individual
- Last Name
- Idahosa
- First Name
- Victor
- Middle Name
- Omamode
- Credential
- MD
- Mailing Street Address
- 348 Broad St
- Mailing City
- Waverly
- Mailing State
- NY
- Mailing ZIP Code
- 14892-1441
- Mailing Country
- US
- Mailing Phone
- (607) 821-2444
- Mailing Fax
- (607) 821-2444
- Practice Street Address
- 348 Broad St
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1441
- Practice Country
- US
- Practice Phone
- (607) 821-2444
- Practice Fax
- (607) 948-1030
- Enumeration Date
- May 27, 2008
- Last Updated
- May 10, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 10, 2022
- Taxonomies
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)