Provider Demographics
NPI:1033215371
Name:OPAIGBEOGU, UCHECHI T (MD)
Entity Type:Individual
Prefix:DR
First Name:UCHECHI
Middle Name:T
Last Name:OPAIGBEOGU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6188 OXON HILL RD
Mailing Address - Street 2:SUITE 701
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3113
Mailing Address - Country:US
Mailing Address - Phone:301-686-0067
Mailing Address - Fax:301-686-0411
Practice Address - Street 1:6188 OXON HILL ROAD
Practice Address - Street 2:SUITE 701
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745
Practice Address - Country:US
Practice Address - Phone:301-686-0067
Practice Address - Fax:301-686-0479
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0037066207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC011060700Medicaid
MD081441500Medicaid
MD8061UTOtherCAREFIRST BLUE CROSS/BS
DC011060700Medicaid
492206Medicare PIN