Provider Demographics
NPI:1285527853
Name:EKATA, IZEGBUWA ASHLEY
Entity type:Individual
Prefix:
First Name:IZEGBUWA
Middle Name:ASHLEY
Last Name:EKATA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IZEB
Other - Middle Name:
Other - Last Name:EKATA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:114 N AURORA ST APT A
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-4302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:114 N AURORA ST APT A
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4302
Practice Address - Country:US
Practice Address - Phone:321-431-1184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program