Provider Demographics
NPI:1508982935
Name:ONYEWUENYI, RITA U (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:U
Last Name:ONYEWUENYI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6001 LANDOVER RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1143
Mailing Address - Country:US
Mailing Address - Phone:301-772-1212
Mailing Address - Fax:301-772-0033
Practice Address - Street 1:6001 LANDOVER RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1143
Practice Address - Country:US
Practice Address - Phone:301-772-1212
Practice Address - Fax:301-772-0033
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0042791208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD190301200Medicaid
MD190301200Medicaid