Provider Demographics
NPI:1255598306
Name:AKABUDIKE, NGOZI MOGEKWU (MD)
Entity type:Individual
Prefix:DR
First Name:NGOZI
Middle Name:MOGEKWU
Last Name:AKABUDIKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:NGOZI
Other - Middle Name:
Other - Last Name:MOGEKWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8775 CENTRE PARK DR # 128
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2177
Mailing Address - Country:US
Mailing Address - Phone:667-240-2738
Mailing Address - Fax:443-546-4969
Practice Address - Street 1:5570 STERRETT PL STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2674
Practice Address - Country:US
Practice Address - Phone:667-240-2738
Practice Address - Fax:443-546-4969
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241633207X00000X
MDD72683207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD72683OtherLICENSE