IndividualActive
Ebifade Imarayi
NPI 1730649336 · Nephrology Physician · Ogden, UT
Provider details
- NPI number
- 1730649336
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 14033302-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (801) 387-2800
Approximate (ZIP-level) locationGet directions
Mailing address
4401 Harrison Blvd
Ogden, UT 84403-3195
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2024-07-16
- Certified
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.