Provider Demographics
NPI:1255498135
Name:OVUWORIE, CYRIL AKOKOTU (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRIL
Middle Name:AKOKOTU
Last Name:OVUWORIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6425
Mailing Address - Country:US
Mailing Address - Phone:702-369-3699
Mailing Address - Fax:702-369-3664
Practice Address - Street 1:900 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6425
Practice Address - Country:US
Practice Address - Phone:702-369-3699
Practice Address - Fax:702-369-3664
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9702207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9702OtherNEVADA LICENSE NUMBER
NV9702OtherNEVADA LICENSE NUMBER