Dr IBEAWUCHI O MBANU is a male medical professional, specializing in Internal Medicine. He graduated in 2001 from Wayne State University School Of Medicine.
INGLESIDE PHYSICIAN SERVICES, LLC
1 ARC LANE
LOW MOOR
VA
24457
Tel: 5408626011
| Npi | 1851441349 |
| Pac Id | 0749375590 |
| Professional Enrollment Id | I20071009000295 |
| Last Name | MBANU |
| First Name | IBEAWUCHI |
| Middle Name | O |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | HOSPITALIST |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | HOSPITALIST |
| Organization Legal Name | INGLESIDE PHYSICIAN SERVICES, LLC |
| Group Practice Pac Id | 6103174255 |
| Number Of Group Practice Members | 22 |
| Line 1 Street Address | 1 ARC LANE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LOW MOOR |
| State | VA |
| Zip Code | 24457 |
| Phone Number | 5408626011 |
| Hospital Affiliation Ccn 1 | 490126 |
| Hospital Affiliation Lbn 1 | LEWISGALE HOSPITAL ALLEGHANY |
| Hospital Affiliation Ccn 2 | 140208 |
| Hospital Affiliation Lbn 2 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 140113 |
| Hospital Affiliation Lbn 3 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| Hospital Affiliation Ccn 4 | 490048 |
| Hospital Affiliation Lbn 4 | LEWISGALE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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