MEDICARE: NOAH OJONUGWA AGADA MD., MPH, FAAAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2013-01403	NC
2	207K00000X	Allergy & Immunology Physician	2013-01403	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255646220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOAH OJONUGWA AGADA MD., MPH, FAAAI

Provider Business Mailing Address
First Line	:	144 E KING ST UNIT 792
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-0319
Country	:	US
Telephone Number	:	336-733-9016
Fax Number	:	336-500-8335

Provider Business Practice Location Address
First Line	:	4601 W MARKET ST STE B
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1231
Country	:	US
Telephone Number	:	336-733-9016
Fax Number	:	336-500-8335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2010
Last Update Date	:	03/17/2026

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