MEDICARE: UCHENNA KENNEDY OJIAKU MD

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	207P00000X	Emergency Medicine Physician	M0203	TX
2	208D00000X	General Practice Physician	M0203	TX
3	207Q00000X	Family Medicine Physician	M0203	TX
4	207R00000X	Internal Medicine Physician	M0203	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8W0370	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811921000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UCHENNA KENNEDY OJIAKU MD

Provider Business Mailing Address
First Line	:	24 VIEUX CARRE CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2584
Country	:	US
Telephone Number	:	202-390-7520
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 VIEUX CARRE CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2584
Country	:	US
Telephone Number	:	202-390-7520
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/06/2011

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