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

Emmanuel A Omoba, MD

Individual provider Diagnostic Radiology Physician · NPI 1346342342

Emmanuel A Omoba, MD is a Diagnostic Radiology in Buffalo, New York. Qualified in 1984, 42 years ago. Practices with Guam Healthcare Development Incorporated, a 209-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Guam, Iowa, Illinois and Minnesota and 2 more.

Years since qualifying
42
Licensed in
GU, IA, IL, MN, NY, WI
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton St
Buffalo, NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-3549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 W University Ave, Urbana, IL 61801 — (217) 383-2010

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036085089 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 317782 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 63114 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 33539 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD-44772 (IA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-2206 (GU)

Record details

NPI number1346342342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Guam Healthcare Development Incorporated — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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