Provider Demographics
NPI:1205029600
Name:EJINDU, UWADIOGBU ODINAKA (MD)
Entity Type:Individual
Prefix:DR
First Name:UWADIOGBU
Middle Name:ODINAKA
Last Name:EJINDU
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 1:7401 THE PLZ
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-1925
Mailing Address - Country:US
Mailing Address - Phone:704-817-8275
Mailing Address - Fax:704-817-7630
Practice Address - Street 1:7401 THE PLZ
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215
Practice Address - Country:US
Practice Address - Phone:704-817-8275
Practice Address - Fax:704-817-7630
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200701360208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5908672Medicaid