Fortunate Ehi Ovbiagele, M D | |
29 L V Stabler Dr, Greenville, AL 36037-3850 | |
(334) 383-2249 | |
(334) 383-2342 |
Full Name | Fortunate Ehi Ovbiagele |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 29 L V Stabler Dr, Greenville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659391456 | NPI | - | NPPES |
051098107 | Other | AL | BCBS INPATIENT |
051550185 | Medicaid | AL | |
051098108 | Other | AL | BCBS OUTPATIENT |
260050017 | Other | AL | RAILROAD MEDICARE |
009942355 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 00022241 (Alabama) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 00022241 (Alabama) | Primary |
Entity Name | Greenville Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366427437 PECOS PAC ID: 0648173898 Enrollment ID: O20040127000984 |
Entity Name | The Health Care Authority Of The City Of Greenville - Lv Stabler Hospi |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366427437 PECOS PAC ID: 9436418209 Enrollment ID: O20190102000211 |
Mailing Address | Practice Location Address |
---|---|
Fortunate Ehi Ovbiagele, M D Po Box 100242, Atlanta, GA 30384-0242 Ph: (334) 383-2247 | Fortunate Ehi Ovbiagele, M D 29 L V Stabler Dr, Greenville, AL 36037-3850 Ph: (334) 383-2249 |
Dr. Lakshmikantha Kumbla, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 29 L V Stabler Dr, Greenville, AL 36037 Phone: 334-382-2671 |