Provider Demographics
NPI:1477658128
Name:ONYEKWERE, ONYINYE C (MD, MS, FAAP)
Entity Type:Individual
Prefix:DR
First Name:ONYINYE
Middle Name:C
Last Name:ONYEKWERE
Suffix:
Gender:F
Credentials:MD, MS, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12239 CYPRESS SPRING RD
Mailing Address - Street 2:SUITE 010
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4415
Mailing Address - Country:US
Mailing Address - Phone:240-374-8616
Mailing Address - Fax:240-780-7159
Practice Address - Street 1:12239 CYPRESS SPRING RD
Practice Address - Street 2:SUITE 010
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-4415
Practice Address - Country:US
Practice Address - Phone:240-374-8616
Practice Address - Fax:240-780-7159
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD33750207RH0003X, 208000000X
MDD00632512080P0207X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403549601Medicaid
DC97545400Medicaid
MD403549600Medicaid
DC35348700Medicaid