Provider Demographics
NPI:1558823336
Name:OBI-NWANKWO, UZOMA MELISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:UZOMA
Middle Name:MELISSA
Last Name:OBI-NWANKWO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UZOMA
Other - Middle Name:MELISSA
Other - Last Name:AJA EZE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 650859
Mailing Address - Street 2:DEPT 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265
Mailing Address - Country:US
Mailing Address - Phone:409-772-2222
Mailing Address - Fax:
Practice Address - Street 1:146 E HOSPITAL DR STE 103
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-4170
Practice Address - Country:US
Practice Address - Phone:979-864-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK38216207Q00000X
VA0101275705207Q00000X
TXT4809207QG0300X, 207RG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine