Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A501870 | CA |
NPI | 1366534901 |
---|---|
Provider Name | Dr. Charles Enyidulu Ugwu-Oju |
First Address | Madera, CA 93637-5603 |
Second Address | Madera, CA 93637-5603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A501870 | (05) | CA |
F09512 | (02) | CA |