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NPI Code Detail

MEDICARE: ADAOBI UDENWA M.D

MEDICARE: ADAOBI UDENWA M.D
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
1207Q00000XFamily Medicine PhysicianMD040029DC

General Provider Information

NPI Number : 1982866729
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAOBI UDENWA M.D
Provider Business Mailing Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-8160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 08/25/2011

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Directions to “ ADAOBI UDENWA M.D” Practice Location

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