Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 0101267577 | VA |
NPI | 1073684783 |
---|---|
Provider Name | Dr. Nkechinyere Udenyi |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 28/08/2019 |