Provider Demographics
NPI:1770723587
Name:ONUOHA, ADAEZE ANYANWUTUTU (MD)
Entity type:Individual
Prefix:DR
First Name:ADAEZE
Middle Name:ANYANWUTUTU
Last Name:ONUOHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10657 VISTA DEL SOL DR STE F
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4504
Mailing Address - Country:US
Mailing Address - Phone:915-303-7548
Mailing Address - Fax:915-303-7558
Practice Address - Street 1:10657 VISTA DEL SOL DR STE F
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4504
Practice Address - Country:US
Practice Address - Phone:915-303-7548
Practice Address - Fax:915-303-7558
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ445712084A2900X
MO20090070632084N0400X
TXQ17002084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology