Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 241633 | NY |
Y | 207X00000X | Orthopaedic Surgeon | D72683 | MD |
N | 207XS0106X | Orthopaedic Hand Surgeon | D72683 | MD |
NPI | 1255598306 |
---|---|
Provider Name | Dr. Ngozi Mogekwu Akabudike |
First Address | Columbia, MD 21045-2177 |
Second Address | Columbia, MD 21044-2674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 12/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D72683 | LICENSE (01) | MD |