Provider Demographics
NPI:1811921000
Name:OJIAKU, UCHENNA KENNEDY (MD)
Entity type:Individual
Prefix:
First Name:UCHENNA
Middle Name:KENNEDY
Last Name:OJIAKU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 VIEUX CARRE CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2584
Mailing Address - Country:US
Mailing Address - Phone:202-390-7520
Mailing Address - Fax:
Practice Address - Street 1:24 VIEUX CARRE CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2584
Practice Address - Country:US
Practice Address - Phone:202-390-7520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0203207P00000X, 208D00000X, 207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W0370OtherBLUE CROSS BLUE SHIELD
TX173588805Medicaid
TX8G7898Medicare PIN
TX173588805Medicaid