Provider Demographics
NPI:1437542677
Name:NWANKWO, ODINAKA ABIGAIL (MD)
Entity Type:Individual
Prefix:
First Name:ODINAKA
Middle Name:ABIGAIL
Last Name:NWANKWO
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 1:4566 LUKE DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-8635
Mailing Address - Country:US
Mailing Address - Phone:319-379-5342
Mailing Address - Fax:
Practice Address - Street 1:601 HIGHWAY 6 WEST
Practice Address - Street 2:
Practice Address - City:IOWA
Practice Address - State:IA
Practice Address - Zip Code:52446
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:319-339-0581
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR019919207PE0004X
MT99156207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services