Physician Compare National (NPI:1205029600)

HEALTHCARE PROVIDER: UWADIOGBU ODINAKA EJINDU MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205029600
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678837564
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180430002611
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EJINDU
	Individual professional last name
Provider First Name	UWADIOGBU
	Individual professional first name
Provider Middle Name	ODINAKA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7401 THE PLZ
	Group Practice or individual's line 1 address
City	CHARLOTTE
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	282151925
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y