Provider Demographics
NPI:1164804415
Name:GHIDEI, LUWAM (MD, MSCI)
Entity Type:Individual
Prefix:DR
First Name:LUWAM
Middle Name:
Last Name:GHIDEI
Suffix:
Gender:F
Credentials:MD, MSCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 RANDOLPH RD STE 401
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1100
Mailing Address - Country:US
Mailing Address - Phone:704-247-2209
Mailing Address - Fax:704-247-2210
Practice Address - Street 1:1918 RANDOLPH RD STE 401
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1100
Practice Address - Country:US
Practice Address - Phone:704-247-2209
Practice Address - Fax:704-247-2210
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-01143207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology