Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MA063134 | PA |
NPI | 1013674076 |
---|---|
Provider Name | Amara Chinyere Unegbu-Ogbonna |
First Address | Philadelphia, PA 19140-4109 |
Second Address | Philadelphia, PA 19140-4109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2021 |
Last Update Date | 23/11/2021 |