Healthcare Provider Details

I. General information

NPI: 1336593375
Provider Name (Legal Business Name): ONYINYECHUKWU OCHI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20059-0001
US

IV. Provider business mailing address

8427 AVON ST
JAMAICA NY
11432-2301
US

V. Phone/Fax

Practice location:
  • Phone: 202-468-8842
  • Fax:
Mailing address:
  • Phone: 202-468-8842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number30985001
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: