Doctor Name: | DR. OKENWA R. NWOSU |
NPI Number: | 1376673269 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D27120 |
Business Practice Address: | 8700 Central Ave Suite 100 Landover, MD - 207854831 |
Business Phone Number: | 3013508500 |
Business Fax Number: | |
Mailing Address: | 8700 Central Ave, Suite 100 LANDOVER |
State: | MD |
Postal Code: | 207854831 |
Phone Number: | 3013508500 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D27120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |