Provider Demographics
NPI:1346454659
Name:ONWUZURIKE, EUGENE OGBONNA (ARRT R CT)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:OGBONNA
Last Name:ONWUZURIKE
Suffix:
Gender:M
Credentials:ARRT R CT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1513 BEACON VALLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604
Mailing Address - Country:US
Mailing Address - Phone:919-212-2398
Mailing Address - Fax:919-212-2798
Practice Address - Street 1:1513 BEACON VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604
Practice Address - Country:US
Practice Address - Phone:919-212-2398
Practice Address - Fax:919-212-2798
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
323983247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10581OtherNCSRT
323983OtherARRT