Provider Demographics
NPI:1730074196
Name:OBIAKALUSI, IFEANYI CHRISTIAN (MD)
Entity type:Individual
Prefix:
First Name:IFEANYI
Middle Name:CHRISTIAN
Last Name:OBIAKALUSI
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:MERCY ST. VINCENT MEDICAL CENTER
Mailing Address - Street 2:2213 CHERRY ST.
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-1860
Mailing Address - Fax:419-251-2422
Practice Address - Street 1:MERCY ST. VINCENT MEDICAL CENTER
Practice Address - Street 2:2213 CHERRY ST.
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608
Practice Address - Country:US
Practice Address - Phone:419-251-1860
Practice Address - Fax:419-251-2422
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program