| Osayame Austine Ekhaguere, MB, BS, MD, MPH | |
|
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
| (765) 448-8000 | |
| (765) 838-4758 |
| Full Name | Osayame Austine Ekhaguere |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 5165 Mccarty Ln, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568729333 | NPI | - | NPPES |
| 815500571 | Other | IN | MEDICARE PTAN |
| 300013758 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01079516A (Indiana) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01079516A (Indiana) | Primary |
| Entity Name | University Pediatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Osayame Austine Ekhaguere, MB, BS, MD, MPH Po Box 778912, Chicago, IL 60677-8912 Ph: (317) 777-6435 | Osayame Austine Ekhaguere, MB, BS, MD, MPH 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Dr. Lylan S. Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Sabeena Rana Hubbard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 | |
Lauren E Winsauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Theresa Anne Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7611 | |
Nadeem Abbasi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-868-6302 | |
Ketan K Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 145a, Lafayette, IN 47905 Phone: 765-446-5040 Fax: 765-446-5041 |