Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Christian N Ezidiegwu, MD

Individual provider Blood Banking & Transfusion Medicine Physician · NPI 1053364802

Dr. Christian N Ezidiegwu, MD is a Pathology in Syracuse, New York. Qualified in 1986, 40 years ago. Practices with Muzaffar N Khan Physician PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2006
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Ostrom Ave
Syracuse, NY 13210-2029
Phone: (315) 447-7041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Molecular Genetic Pathology (Pathology) Physician (primary) Taxonomy 207ZP0007X · Licence 230913 (NY)
Blood Banking & Transfusion Medicine Physician Taxonomy 207ZB0001X · Licence 230913 (NY)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 230913 (NY)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 230913 (NY)
Forensic Pathology Physician Taxonomy 207ZF0201X · Licence 230913 (NY)
Immunopathology Physician Taxonomy 207ZI0100X · Licence 230913 (NY)
Medical Microbiology Physician Taxonomy 207ZM0300X · Licence 230913 (NY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 230913 (NY)
Pediatric Pathology Physician Taxonomy 207ZP0213X · Licence 230913 (NY)

Record details

NPI number1053364802
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Muzaffar N Khan Physician Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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