Provider Demographics
NPI:1114711645
Name:OKONKWO, UGONNA ARTHURGEORGE (MD)
Entity type:Individual
Prefix:
First Name:UGONNA
Middle Name:ARTHURGEORGE
Last Name:OKONKWO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5612 RAVENS CREST DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2443
Mailing Address - Country:US
Mailing Address - Phone:732-253-2827
Mailing Address - Fax:
Practice Address - Street 1:5612 RAVENS CREST DR
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-2443
Practice Address - Country:US
Practice Address - Phone:732-253-2827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program