Healthcare Provider Details

I. General information

NPI: 1134816838
Provider Name (Legal Business Name): ADAOBI JULIET OKECHUKWU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7602 BELAIR RD
BALTIMORE MD
21236-4088
US

IV. Provider business mailing address

7602 BELAIR RD
BALTIMORE MD
21236-4088
US

V. Phone/Fax

Practice location:
  • Phone: 410-663-8100
  • Fax:
Mailing address:
  • Phone: 410-663-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0107949
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: