Victor Omamode Idahosa, MD
Victor Omamode Idahosa, MD is an Internal Medicine in Waverly, New York. Qualified in 1995, 31 years ago. Practices with Waverly Medical Associates LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 31
- Licensed in
- NY
- In the registry since
- 2008
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
348 Broad StWaverly, NY 14892-1441
Phone: (607) 821-2444
Fax: (607) 948-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X · Licence 276514 (NY) |
|---|
Record details
| NPI number | 1528226677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 27, 2008 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | Waverly Medical Associates Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |