Provider Demographics
NPI:1326482464
Name:NNUNUKWE, NGOZI ABIKE (MD)
Entity Type:Individual
Prefix:MS
First Name:NGOZI
Middle Name:ABIKE
Last Name:NNUNUKWE
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 1:21326 E 55TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8500
Mailing Address - Country:US
Mailing Address - Phone:720-366-4389
Mailing Address - Fax:
Practice Address - Street 1:21326 E 55TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8500
Practice Address - Country:US
Practice Address - Phone:720-366-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.021330390200000X
CODR.0059161208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program