Healthcare Provider Details

I. General information

NPI: 1124957774
Provider Name (Legal Business Name): UCHECHI THEODORE OPAIGBEOGU MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6188 OXON HILL RD STE 701
OXON HILL MD
20745-3151
US

IV. Provider business mailing address

6188 OXON HILL RD STE 701
OXON HILL MD
20745-3151
US

V. Phone/Fax

Practice location:
  • Phone: 301-686-0067
  • Fax: 631-350-0407
Mailing address:
  • Phone: 301-686-0067
  • Fax: 631-350-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: UCHECHI THEODORE OPAIGBEOGU
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-686-0067