Provider Demographics
NPI:1124231519
Name:ONUOHA, JUDE OKECHUKWU (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDE
Middle Name:OKECHUKWU
Last Name:ONUOHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OKECHUKWU
Other - Middle Name:JUDE
Other - Last Name:ONUOHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173
Mailing Address - Country:US
Mailing Address - Phone:980-315-3540
Mailing Address - Fax:704-494-3489
Practice Address - Street 1:3209 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6930
Practice Address - Country:US
Practice Address - Phone:803-434-7399
Practice Address - Fax:803-434-8374
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL 293802083P0901X
NC2009-011012083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine