Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0068038 | MD |
N | 111NI0900X | Internist | D0068038 | MD |
Y | 207R00000X | Internist | MD040316 | DC |
Y | 111NI0900X | Internist | MD040316 | DC |
NPI | 1003012063 |
---|---|
Provider Name | Dr. Uzoamaka Theodora Nwaogwugwu |
First Address | Bowie, MD 20720-3706 |
Second Address | Washington, DC 20060-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 05/10/2012 |