Provider Demographics
NPI:1336248418
Name:ONUOHA, BERNADETTE UKACHI (MD)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:UKACHI
Last Name:ONUOHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BERNADETTE
Other - Middle Name:UKACHI
Other - Last Name:EJIOGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1867
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487
Mailing Address - Country:US
Mailing Address - Phone:281-240-1035
Mailing Address - Fax:281-240-1044
Practice Address - Street 1:12808 WEST AIRPORT BLVD
Practice Address - Street 2:SUITE #250
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-240-1035
Practice Address - Fax:281-240-1044
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK70742084P0800X, 2084P0804X
IN01046753A2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
87181NMedicare ID - Type Unspecified