Healthcare Provider Details

I. General information

NPI: 1720905102
Provider Name (Legal Business Name): ONYEKA UGOAGWU PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14909 DUNLEIGH DR
BOWIE MD
20721-3269
US

IV. Provider business mailing address

14909 DUNLEIGH DR
BOWIE MD
20721-3269
US

V. Phone/Fax

Practice location:
  • Phone: 240-423-5494
  • Fax:
Mailing address:
  • Phone: 240-423-5494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR190460
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: