Provider Demographics
NPI:1376790428
Name:G MEDICINE LLC
Entity Type:Organization
Organization Name:G MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHIKE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ONWUKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-868-2555
Mailing Address - Street 1:9135 PISCATAWAY RD STE 420
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2555
Mailing Address - Country:US
Mailing Address - Phone:301-868-2555
Mailing Address - Fax:
Practice Address - Street 1:9135 PISCATAWAY RD STE 420
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2555
Practice Address - Country:US
Practice Address - Phone:301-868-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty