IndividualActive
Ibanga Ekanem, MD
NPI 1710085824 · Pediatric Adolescent Medicine Physician · New Martinsville, WV
Provider details
- NPI number
- 1710085824
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 19922 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Paducah Dr
New Martinsville, WV 26155
Phone: (304) 455-3611
Fax: (304) 455-1778
Approximate (ZIP-level) locationGet directions
Mailing address
100 Paducah Dr
New Martinsville, WV 26155
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.