Provider Demographics
NPI:1215185327
Name:OHIKU, PAULA UWAYEMEN
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:UWAYEMEN
Last Name:OHIKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 AYNESLEY CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6143
Mailing Address - Country:US
Mailing Address - Phone:410-356-7519
Mailing Address - Fax:
Practice Address - Street 1:1000 INGLESIDE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-1317
Practice Address - Country:US
Practice Address - Phone:443-551-3784
Practice Address - Fax:443-551-3801
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR114997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily