| Ikemefuna Nkanginieme Md | |
|
4735 Belpar St Nw Canton OH 44718-3648 | |
| (330) 493-9822 | |
| (330) 493-9816 |
| Full Name | Ikemefuna Nkanginieme Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4735 Belpar St Nw, Canton, Ohio |
| Authorized Official Name and Position | Ikemefuna Nkanginieme (PRESIDENT) |
| Authorized Official Contact | 3304939822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikemefuna Nkanginieme Md 4735 Belpar St Nw Canton OH 44718-3648 Ph: (330) 493-9822 | Ikemefuna Nkanginieme Md 4735 Belpar St Nw Canton OH 44718-3648 Ph: (330) 493-9822 |
| NPI Number | 1861597148 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 7012950918 |
|---|---|
| Medicare Enrollment ID | O20050602000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861597148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ikemefuna Nkanginieme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972524049 PECOS PAC ID: 3274501358 Enrollment ID: I20040917000540 |
| Provider Name | Joanne Vaccani |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255418968 PECOS PAC ID: 1951427897 Enrollment ID: I20100928001059 |
| Provider Name | Sara Abi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093130403 PECOS PAC ID: 0345667655 Enrollment ID: I20200901003334 |
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