Provider Demographics
NPI:1053543603
Name:IGBOELI, BLESSING (MD)
Entity type:Individual
Prefix:
First Name:BLESSING
Middle Name:
Last Name:IGBOELI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 HILTON CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4152
Mailing Address - Country:US
Mailing Address - Phone:614-647-2000
Mailing Address - Fax:
Practice Address - Street 1:4715 HILTON CORPORATE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4152
Practice Address - Country:US
Practice Address - Phone:614-647-2000
Practice Address - Fax:614-324-8820
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350990582084P0800X, 207R00000X, 2084A0401X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine