Healthcare Provider Details

I. General information

NPI: 1376239079
Provider Name (Legal Business Name): ONYINYE SYLVIA UGOALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RHODE ISLAND HOSPITAL, POB 438, 593 EDDY STREET
PROVIDENCE RI
02903
US

IV. Provider business mailing address

RHODE ISLAND HOSPITAL, POB 438, 593 EDDY STREET
PROVIDENCE RI
02903
US

V. Phone/Fax

Practice location:
  • Phone: 806-356-4642
  • Fax:
Mailing address:
  • Phone: 401-444-5248
  • Fax: 401-444-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: