Provider Demographics
NPI:1245531540
Name:UCHENNA K OJIAKU PA
Entity type:Organization
Organization Name:UCHENNA K OJIAKU PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:KENNEDY
Authorized Official - Last Name:OJIAKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-390-7520
Mailing Address - Street 1:24 VIEUX CARRE CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2584
Mailing Address - Country:US
Mailing Address - Phone:202-390-7520
Mailing Address - Fax:713-583-8803
Practice Address - Street 1:24 VIEUX CARRE CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2584
Practice Address - Country:US
Practice Address - Phone:202-390-7520
Practice Address - Fax:713-583-8803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X, 207Q00000X, 207QH0002X, 207R00000X, 208000000X, 208D00000X
TXM0203208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty