Provider Demographics
NPI:1386904787
Name:NWANKWO, VINCENT NWABUFO (MD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:NWABUFO
Last Name:NWANKWO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:DEPARTMENT OF PSYCHIATRY CHILD PSYCHIATRY
Mailing Address - Street 2:1 HOSPITAL DRIVE
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-0001
Mailing Address - Country:US
Mailing Address - Phone:573-882-8907
Mailing Address - Fax:573-884-1070
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY CHILD PSYCHIATRY
Practice Address - Street 2:1 HOSPITAL DRIVE
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-8907
Practice Address - Fax:573-884-1070
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2017-05-05
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Provider Licenses
StateLicense IDTaxonomies
MO20150059832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry