Provider Demographics
NPI:1467621623
Name:NWANKWO, CECILIA ADAOBI (MD)
Entity Type:Individual
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First Name:CECILIA
Middle Name:ADAOBI
Last Name:NWANKWO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:17 FIRSTFIELD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1774
Mailing Address - Country:US
Mailing Address - Phone:301-330-4243
Mailing Address - Fax:301-963-9114
Practice Address - Street 1:17 FIRSTFIELD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1774
Practice Address - Country:US
Practice Address - Phone:301-330-4243
Practice Address - Fax:301-963-9114
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2012-08-31
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Provider Licenses
StateLicense IDTaxonomies
MDD375452080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD334511400Medicaid