Healthcare Provider Details

I. General information

NPI: 1063556736
Provider Name (Legal Business Name): UCHENNA OKAGBUE NJIAJU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. UCHENNA ERICA OKAGBUE

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 07/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N FOOTE AVE STE 202
COLORADO SPRINGS CO
80909-4501
US

IV. Provider business mailing address

8890 N UNION BLVD STE 160
COLORADO SPRINGS CO
80920-7799
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-6568
  • Fax: 719-365-6317
Mailing address:
  • Phone: 719-365-9950
  • Fax: 719-365-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number56114
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: