Provider Demographics
NPI:1679991384
Name:EGU, NGOZI P (MD)
Entity Type:Individual
Prefix:DR
First Name:NGOZI
Middle Name:P
Last Name:EGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 GEORGIA AVE NW
Mailing Address - Street 2:SUITE #3B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3035
Mailing Address - Country:US
Mailing Address - Phone:202-865-1452
Mailing Address - Fax:202-865-7202
Practice Address - Street 1:2139 GEORGIA AVE NW
Practice Address - Street 2:SUITE #3B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3035
Practice Address - Country:US
Practice Address - Phone:202-865-1452
Practice Address - Fax:202-865-7202
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program