Provider Demographics
NPI:1003012063
Name:NWAOGWUGWU, UZOAMAKA THEODORA (MD)
Entity Type:Individual
Prefix:DR
First Name:UZOAMAKA
Middle Name:THEODORA
Last Name:NWAOGWUGWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UZOAMAKA
Other - Middle Name:THEODORA
Other - Last Name:NWIGWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4700 RIDGELINE TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3706
Mailing Address - Country:US
Mailing Address - Phone:301-576-4068
Mailing Address - Fax:732-829-2266
Practice Address - Street 1:2041 GEORGIA AVENUE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-7677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040316207R00000X
MDD0068038207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program