Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D69011 | MD |
Y | 207RA0201X | Internist - Allergy & Immunology | D69011 | MD |
NPI | 1447315536 |
---|---|
Provider Name | Nkiruka Ugochi Erekosima |
First Address | Silver Spring, MD 20904-5202 |
Second Address | Silver Spring, MD 20904-5202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 06/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
510519600 | (05) | MD |