MEDICARE: DR. OWOICHO ADOGWA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	2018017237	MO
2	207T00000X	Neurological Surgery Physician	35.143953	OH

General Provider Information

NPI Number	:	1154681542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OWOICHO ADOGWA MD

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-5506
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	3113 BELLEVUE AVE STE 4100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-3286
Country	:	US
Telephone Number	:	134-758-9905
Fax Number	:	513-475-8577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	12/15/2021

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Directions to “ DR. OWOICHO ADOGWA MD” Practice Location

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