Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 8970 | ND |
NPI | 1134147713 |
---|---|
Provider Name | Mrs. Ngozi O Nwakamma-Okoro |
First Address | Grand Forks, ND 58201 |
Second Address | Grand Forks, ND 58201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 24/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11745 | (05) | ND |
135582 | UCARE MN (01) | |
201200995 | HUMANA (01) | |
201200995 | UNICARE (01) | |
27696 | BLUE CROSS NORTH DAKOTA (01) | ND |
3600716 | MEDICA (01) | ND |
529L4OK | BLUE CROSS MINNESOTA (01) | MN |
923159500 | (05) | MN |
978931029653 | PREFERRED ONE (01) | |
G88625 | (02) | ND |
HP38400 | HEALTHPARTNERS # (01) | ND |
P00384589 | RR MEDICARE (01) | ND |