Provider Demographics
NPI:1346261294
Name:OKPARAOCHA, UGONMA HARRIET (MD)
Entity Type:Individual
Prefix:DR
First Name:UGONMA
Middle Name:HARRIET
Last Name:OKPARAOCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HARRIET
Other - Middle Name:UGONMA
Other - Last Name:ONWUKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:500 UPPER CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4324
Mailing Address - Country:US
Mailing Address - Phone:443-643-4120
Mailing Address - Fax:
Practice Address - Street 1:500 UPPER CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4324
Practice Address - Country:US
Practice Address - Phone:443-643-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101252832208000000X
MDD0064420208000000X, 2080A0000X
KY399812080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY183924Medicare Oscar/Certification
KY183932Medicare Oscar/Certification