Provider Demographics
NPI:1003102831
Name:ODIGWE, RUFINA NWANNEKA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUFINA
Middle Name:NWANNEKA
Last Name:ODIGWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 NEW HAMPSHIRE AVE
Mailing Address - Street 2:APT 101
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-3340
Mailing Address - Country:US
Mailing Address - Phone:909-277-0509
Mailing Address - Fax:
Practice Address - Street 1:2139 GEORGIA AVE NW
Practice Address - Street 2:SUITE 3B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3035
Practice Address - Country:US
Practice Address - Phone:202-865-1452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV28369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine