Provider Demographics
NPI:1811183171
Name:ONUOHA, OYOYO OGOEGBUNAM (MD)
Entity type:Individual
Prefix:
First Name:OYOYO
Middle Name:OGOEGBUNAM
Last Name:ONUOHA
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 1:2919 S ELLSWORTH RD
Mailing Address - Street 2:SUITE 139
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-2164
Mailing Address - Country:US
Mailing Address - Phone:480-984-5225
Mailing Address - Fax:480-984-5447
Practice Address - Street 1:2919 S ELLSWORTH RD
Practice Address - Street 2:SUITE 139
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-2164
Practice Address - Country:US
Practice Address - Phone:480-984-5225
Practice Address - Fax:480-984-5447
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ42096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine