Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD048479 | DC |
Y | 111NI0900X | Internist | MD048479 | DC |
N | 208000000X | Pediatrician | MD048479 | DC |
NPI | 1003279399 |
---|---|
Provider Name | Chioma Udemgba |
First Address | New Orleans, LA 70112-2632 |
Second Address | Washington, DC 20002-7180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 13/07/2021 |