Healthcare Provider Details

I. General information

NPI: 1346863099
Provider Name (Legal Business Name): UZOAMAKA OKORO MD, MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: UZO OKORO MD, MSC

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 07/15/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 EAST HOSPITAL ROAD
FORT EISENHOWER GA
30905
US

IV. Provider business mailing address

4954 N PALMER RD BLDG 19
BETHESDA MD
20889-5600
US

V. Phone/Fax

Practice location:
  • Phone: 706-787-3944
  • Fax:
Mailing address:
  • Phone: 301-295-4551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0101274945
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: