Provider Demographics
NPI:1336601251
Name:EJIOGU, HELEN NGOZI (MD)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:NGOZI
Last Name:EJIOGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:HELEN
Other - Middle Name:NGOZI
Other - Last Name:OHAERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6901 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106
Mailing Address - Country:US
Mailing Address - Phone:517-894-6993
Mailing Address - Fax:276-477-5348
Practice Address - Street 1:6901 MERCY RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106
Practice Address - Country:US
Practice Address - Phone:402-390-6600
Practice Address - Fax:402-390-9851
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE35632207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47067556113Medicaid