Provider Demographics
NPI:1346863099
Name:OKORO, UZOAMAKA (MD, MSC)
Entity type:Individual
Prefix:
First Name:UZOAMAKA
Middle Name:
Last Name:OKORO
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:
Other - First Name:UZO
Other - Middle Name:
Other - Last Name:OKORO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MSC
Mailing Address - Street 1:4954 N PALMER RD BLDG 19
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5600
Mailing Address - Country:US
Mailing Address - Phone:301-295-4551
Mailing Address - Fax:
Practice Address - Street 1:300 EAST HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:FORT EISENHOWER
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-3944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101274945207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology