Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Ewaenosa Esohe Isidahome, MD

Individual provider Pediatrics Physician · NPI 1063089514

Dr. Ewaenosa Esohe Isidahome, MD is a Pediatrics Physician in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2021.

Licensed in
ND
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone: (701) 780-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence PT24940 (ND)

Record details

NPI number1063089514
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

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