Provider Demographics
NPI:1518370881
Name:OJUKWU, SANDO (MD,)
Entity Type:Individual
Prefix:DR
First Name:SANDO
Middle Name:
Last Name:OJUKWU
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:SANDO
Other - Middle Name:
Other - Last Name:BAYSAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD MPH
Mailing Address - Street 1:1 JOSLIN PL
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5394
Mailing Address - Country:US
Mailing Address - Phone:617-309-5708
Mailing Address - Fax:
Practice Address - Street 1:1 JOSLIN PL
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5394
Practice Address - Country:US
Practice Address - Phone:617-309-5708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT205716208000000X, 2080P0205X
MA2900722080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics