Provider Demographics
NPI:1093805939
Name:GAB-OJUKWU, OZIOMA THELMA (MD)
Entity Type:Individual
Prefix:DR
First Name:OZIOMA
Middle Name:THELMA
Last Name:GAB-OJUKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OZIOMA
Other - Middle Name:THELMA
Other - Last Name:EVANS-NWOSU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:14701 E EXPOSITION AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2623
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46098207Q00000X
MI4301083890207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO18287OtherKAISER COMMERCIAL NUMBER
CO36453285Medicaid
CO46098OtherSTATE LICENCE
COC811055Medicare PIN