Provider Demographics
NPI:1437737046
Name:NWANKWO, OBINNA (MD)
Entity Type:Individual
Prefix:DR
First Name:OBINNA
Middle Name:
Last Name:NWANKWO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OBINNA
Other - Middle Name:THEOPHILUS
Other - Last Name:NWANKWO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:506 LENOX AVE RM 13106
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1889
Mailing Address - Country:US
Mailing Address - Phone:212-939-1406
Mailing Address - Fax:212-939-1462
Practice Address - Street 1:506 LENOX AVE RM 13106
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1889
Practice Address - Country:US
Practice Address - Phone:212-939-1406
Practice Address - Fax:212-939-1462
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program