Provider Demographics
NPI:1699963249
Name:EHIREMEN, STEPHEN EGUABOR (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:EGUABOR
Last Name:EHIREMEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3337 KIRBY PKWY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-3816
Mailing Address - Country:US
Mailing Address - Phone:901-590-4428
Mailing Address - Fax:901-249-5827
Practice Address - Street 1:3337 KIRBY PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-3816
Practice Address - Country:US
Practice Address - Phone:901-590-4428
Practice Address - Fax:901-249-5827
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46062207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology