EBELOSELE AIGBIVBALU, MD
Pediatrics
Active
Individual
NPI: 1164918108
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | BP10063912 (TX) |
| Pediatrics - Neonatal-Perinatal Medicine | 2080N0001X | No | V9841 (TX) |
Frequently Asked Questions
NPI 1164918108 is the National Provider Identifier for EBELOSELE AIGBIVBALU, MD, a Pediatrics provider located in Roseburg, OR. This NPI was enumerated on July 2, 2018.
EBELOSELE AIGBIVBALU, MD practices at 2700 NW STEWART PARKWAY, Roseburg, OR 97471.
Quick Facts
- NPI
- 1164918108
- Type
- Individual
- Enumerated
- Jul 2, 2018
- Last Updated
- Oct 6, 2025
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