| Dr Bede Ikenna Nnolim, MD | |
| 953 Southern Blvd, Bronx, NY 10459-3428 | |
| (718) 589-4541 | |
| Not Available | 
| Full Name | Dr Bede Ikenna Nnolim | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism | 
| Location | 953 Southern Blvd, Bronx, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154336634 | NPI | - | NPPES | 
| 4803031 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 327537 (New York) | Primary | 
| Entity Name | Urban Health Plan Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265596548 PECOS PAC ID: 3173517281 Enrollment ID: O20040412001518 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Bede Ikenna Nnolim, MD 953 Southern Blvd, Bronx, NY 10459-3428 Ph: () - | Dr Bede Ikenna Nnolim, MD 953 Southern Blvd, Bronx, NY 10459-3428 Ph: (718) 589-4541 | 
| Selina Sultana Zaman, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 718-920-9000 | |
| Mana Rao, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
| Dr. Keshav Teelucksingh, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
| Tannaz Iranpour Boroujeni, M.D Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 617-840-0110 | |
| Heather Root, MD Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-8592 Fax: 718-405-0610 | |
| Kohtaro Ooka,  Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 844-556-6683 | |
| Benjamin Tuttle Hayes, MD Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 305 E 161st St, Bronx, NY 10451 Phone: 718-579-2500 Fax: 718-579-2599 |