Provider Demographics
NPI:1497013346
Name:NWUBAH, NNEAMAKA AGOCHUKWU (MD)
Entity Type:Individual
Prefix:DR
First Name:NNEAMAKA
Middle Name:AGOCHUKWU
Last Name:NWUBAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NNEAMAKA
Other - Middle Name:BARBARA
Other - Last Name:AGOCHUKWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5409 MARYLAND WAY STE 115
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1076
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5409 MARYLAND WAY STE 115
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1076
Practice Address - Country:US
Practice Address - Phone:615-804-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-29
Last Update Date:2023-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59912208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery