Victor Omamode Idahosa, MD is an addiction medicine internal medicine in Waverly, NY with 29 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Victor Omamode Idahosa, MD NPI is 1528226677. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
348 BROAD ST
WAVERLY, NY
ZIP 14892-441
Phone: (607) 821-2444
Fax: (607) 948-1030
The NPI 1528226677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/10/2022.