Provider Demographics
NPI:1013674076
Name:UNEGBU-OGBONNA, AMARA CHINYERE (PA-C)
Entity Type:Individual
Prefix:
First Name:AMARA
Middle Name:CHINYERE
Last Name:UNEGBU-OGBONNA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 ST. PAUL PLACE
Mailing Address - Street 2:BUNTING BUILDING - DEPARTMENT OF OB/GYN
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202
Mailing Address - Country:US
Mailing Address - Phone:410-332-9000
Mailing Address - Fax:215-836-2429
Practice Address - Street 1:345 ST. PAUL PLACE
Practice Address - Street 2:BUNTING BUILDING - DEPARTMENT OF OB/GYN
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:410-332-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0009019207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty