Provider Demographics
NPI:1346664653
Name:OBIEJEMBA, NNEOMA (MD)
Entity type:Individual
Prefix:DR
First Name:NNEOMA
Middle Name:
Last Name:OBIEJEMBA
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 1:8403 COLESVILLE RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-6346
Mailing Address - Country:US
Mailing Address - Phone:301-905-7762
Mailing Address - Fax:
Practice Address - Street 1:12250 ROCKVILLE PIKE STE 290
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1600
Practice Address - Country:US
Practice Address - Phone:240-669-8765
Practice Address - Fax:301-235-1601
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0083684207P00000X, 207K00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program