IndividualActive
Innocent Ezenwa, MD
NPI 1699891192 · Sleep Medicine (Internal Medicine) Physician · Sparks, NV
Provider details
- NPI number
- 1699891192
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 042-0012250 (VT)
Practice location
2115 Green Vista Dr Ste 101
Sparks, NV 89431-8516
Phone: (775) 557-4900
Fax: (775) 557-7240
Mailing address
2115 Green Vista Dr Ste 101
Sparks, NV 89431-8516
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.