Provider Demographics
NPI:1952997587
Name:NDUBUEZE, PATRICIA OBIAGELI (MD)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:OBIAGELI
Last Name:NDUBUEZE
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 1:7717 FINNS LANE LANHAM
Mailing Address - Street 2:LANE LANHAM
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4609
Mailing Address - Country:US
Mailing Address - Phone:301-728-5198
Mailing Address - Fax:
Practice Address - Street 1:7939 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4609
Practice Address - Country:US
Practice Address - Phone:301-434-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR164975163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management