Provider Demographics
NPI:1093490302
Name:OGBONNA, UCHECHUKWU OHIJIE (MD)
Entity type:Individual
Prefix:
First Name:UCHECHUKWU
Middle Name:OHIJIE
Last Name:OGBONNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NUHU ALIYU CRESCENT
Mailing Address - Street 2:
Mailing Address - City:KADUNA
Mailing Address - State:KADUNA
Mailing Address - Zip Code:800243
Mailing Address - Country:NG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5301 SOUTH CONGRESS AVENUE
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-548-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program