Provider Demographics
NPI:1720117518
Name:AKHIGBE, EHIGIATOR OVBIOSE (MD)
Entity type:Individual
Prefix:DR
First Name:EHIGIATOR
Middle Name:OVBIOSE
Last Name:AKHIGBE
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 1:5413 ILLINOIS AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3907
Mailing Address - Country:US
Mailing Address - Phone:202-723-4392
Mailing Address - Fax:202-723-4395
Practice Address - Street 1:5413 ILLINOIS AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3907
Practice Address - Country:US
Practice Address - Phone:202-723-4392
Practice Address - Fax:202-723-4395
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21027207L00000X, 208000000X, 208D00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine