KETRA S. IKEZUAGU M.D – NPI #1164672366
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KETRA IKEZUAGU is a physician located in PUT-IN-BAY, OH. NPPES has assigned the NPI number 1164672366 to KETRA IKEZUAGU on September 24, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 9 years ago on May 04, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETRA IKEZUAGU below.

NPI Profile for
KETRA S. IKEZUAGU

NPI Number
1164672366
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KETRA S. IKEZUAGU
Credentials
M.D
Primary location
528 CATAWBA AVENUE
PUT-IN-BAY, OH 43456
Phone: (419) 285-2401 Fax:
Mailing address
2200 JEFFERSON AVE
TOLEDO, OH 43604-7101
Phone: (419) 285-2401 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OH 35129203

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.