Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 35084710 | OH |
N | 207RP1001X | Pulmonary Disease | 35.084710 | OH |
N | 2080P0201X | Pediatric Allergist | 35084710 | OH |
NPI | 1992954390 |
---|---|
Provider Name | Princess Ogbogu |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43221-3502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 08/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2528661 | (05) | OH |