Provider Demographics
NPI:1104856541
Name:ONUORA, COSMAS ONWUDIWE (MD)
Entity Type:Individual
Prefix:
First Name:COSMAS
Middle Name:ONWUDIWE
Last Name:ONUORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4775 HIGBEE AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2551
Mailing Address - Country:US
Mailing Address - Phone:330-493-9940
Mailing Address - Fax:330-493-9943
Practice Address - Street 1:4775 HIGBEE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2551
Practice Address - Country:US
Practice Address - Phone:330-493-9940
Practice Address - Fax:330-493-9943
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060206O207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0805310Medicaid
OH000000138824OtherANTHEM
OH730482OtherBUCKEYE COMMUNITY
OH0805310Medicaid
OHB64749Medicare UPIN