Provider Demographics
NPI:1184042038
Name:ADIMORA-NWEKE, FLORENCE IFEOMA (MD)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:IFEOMA
Last Name:ADIMORA-NWEKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:IFEOMA
Other - Middle Name:FLORENCE
Other - Last Name:ADIMORA-NWEKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH
Mailing Address - Street 1:1600 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5844
Mailing Address - Country:US
Mailing Address - Phone:573-815-8000
Mailing Address - Fax:573-815-8556
Practice Address - Street 1:1600 E BROADWAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5844
Practice Address - Country:US
Practice Address - Phone:573-815-8000
Practice Address - Fax:573-815-8556
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018022106207R00000X, 208M00000X
390200000X
TXS0251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program