Healthcare Provider Details

I. General information

NPI: 1922282987
Provider Name (Legal Business Name): FIONA OKWUCHI AZUBUIKE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SMITH CHURCH RD
ROANOKE RAPIDS NC
27870-4914
US

IV. Provider business mailing address

300 EUCLID AVE APT 109
MIAMI BEACH FL
33139-8782
US

V. Phone/Fax

Practice location:
  • Phone: 252-535-8425
  • Fax:
Mailing address:
  • Phone: 646-554-5594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number218933-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2025-01350
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: