Provider Demographics
NPI:1265793822
Name:OGUAGHA, IJEOMA ADAEZE (MD)
Entity type:Individual
Prefix:DR
First Name:IJEOMA
Middle Name:ADAEZE
Last Name:OGUAGHA
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 1:7206 AUTUMN SUN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6900
Mailing Address - Country:US
Mailing Address - Phone:646-797-7479
Mailing Address - Fax:
Practice Address - Street 1:13111 WESTHEIMER RD STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5520
Practice Address - Country:US
Practice Address - Phone:346-635-9028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274675208000000X, 208000000X
TXS8888208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics