Whalio Doctors

NPI 1083913230

Osarenomase Egharevba, MD

Practitioner Internal Medicine Physician Conyers, GA

Practice location

Address
1412 Milstead Ave NE, Conyers, GA 30012-3877
Phone
(770) 918-3000
Mailing address
2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996

Registered specialties (3)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 78620 (GA)
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 4301108530 (MI)
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 78620 (GA)

Registry record

NPI
1083913230
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Mar 2011
Record last updated
23 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.