Doctor Name: | ODINAKA ABIGAIL NWANKWO |
NPI Number: | 1437542677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 019919 |
Business Practice Address: | 2414 North Tustin Ave Apt O-8 Santa Ana, CA - 927051628 |
Business Phone Number: | 7146142300 |
Business Fax Number: | |
Mailing Address: | 2 Calle Acapulco Suite 5, Urb.monte Mar GUAYAMA |
State: | PR |
Postal Code: | 007846028 |
Phone Number: | 7146142300 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2015 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 019919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |