MEDICARE: NGOZI B AMADI-OBI

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R137490	MD
2	363LF0000X	Family Nurse Practitioner	137490	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437799582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGOZI B AMADI-OBI

Provider Business Mailing Address
First Line	:	2107 BELFRY LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2253
Country	:	US
Telephone Number	:	240-643-5638
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 BELFRY LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2253
Country	:	US
Telephone Number	:	240-643-5638
Fax Number	:

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

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	03/18/2026

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