Provider Demographics
NPI:1427322569
Name:EMMANUEL N ORIAHI MD PA
Entity type:Organization
Organization Name:EMMANUEL N ORIAHI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:NKONYE
Authorized Official - Last Name:ORIAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-328-4104
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:ALIEF
Mailing Address - State:TX
Mailing Address - Zip Code:77411-0128
Mailing Address - Country:US
Mailing Address - Phone:832-328-4104
Mailing Address - Fax:
Practice Address - Street 1:8145 HIGHWAY 6 S
Practice Address - Street 2:SUITE 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5763
Practice Address - Country:US
Practice Address - Phone:832-328-4104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157685201Medicaid