Provider Demographics
NPI:1477658128
Name:ONYEKWERE, ONYINYE C (MD, MS, FAAP)
Entity type:Individual
Prefix:DR
First Name:ONYINYE
Middle Name:C
Last Name:ONYEKWERE
Suffix:
Gender:F
Credentials:MD, MS, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12239 CYPRESS SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4415
Mailing Address - Country:US
Mailing Address - Phone:240-641-8160
Mailing Address - Fax:240-331-0073
Practice Address - Street 1:8607 2ND AVE STE 505A
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3355
Practice Address - Country:US
Practice Address - Phone:240-641-8160
Practice Address - Fax:240-331-0073
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD632512080P0207X
MDD0063251208000000X
DCMD33750207RH0003X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC97545400Medicaid
DC35348700Medicaid
DC347196OtherMEDICARE
MD403549600Medicaid
MD403549601Medicaid