Dr Bennet Ifeakandu Omalu, MD, MBA, MPH is a
Independent Medical Examiner physician based in Sacramento, California. Dr Bennet Ifeakandu Omalu is licensed to practice in California (license number C52868) and his current practice location is 4400 V Street, University Of California, Davis, Medical Center, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at
(916) 734-2525.
NPI number for Dr Bennet Ifeakandu Omalu is 1346467370 and his current mailing address is 3031 W March Ln Ste 323, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346467370.
Physician's Profile
| Full Name | Dr Bennet Ifeakandu Omalu |
|---|
| Gender | Male |
|---|
| Speciality | Independent Medical Examiner |
|---|
| Location | 4400 V Street, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346467370
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 03/23/2020
Medical Identifiers
Medical identifiers for Dr Bennet Ifeakandu Omalu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346467370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZC0006X | Pathology - Clinical Pathology | C52868 (California) | Secondary |
| 207ZF0201X | Pathology - Forensic Pathology | C52868 (California) | Secondary |
| 207ZN0500X | Pathology - Neuropathology | C52868 (California) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | C52868 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | C52868 (California) | Secondary |
| 209800000X | Legal Medicine | C52868 (California) | Secondary |
| 202C00000X | Independent Medical Examiner | C52868 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bennet Ifeakandu Omalu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bennet Ifeakandu Omalu, MD, MBA, MPH
3031 W March Ln Ste 323,
Stockton, CA 95219-6578
Ph: (092) 636-2822 | Dr Bennet Ifeakandu Omalu, MD, MBA, MPH
4400 V Street, University Of California, Davis, Medical Center,
Sacramento, CA 95817
Ph: (916) 734-2525 |
Reviews and Comments