Provider Demographics
NPI:1124388764
Name:UZODINMA, OLUCHARLES NGOZI (MD)
Entity Type:Individual
Prefix:
First Name:OLUCHARLES
Middle Name:NGOZI
Last Name:UZODINMA
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 1:3013 KASPAR CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5705
Mailing Address - Country:US
Mailing Address - Phone:703-490-4141
Mailing Address - Fax:
Practice Address - Street 1:3013 KASPAR CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5705
Practice Address - Country:US
Practice Address - Phone:703-490-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide