MEDICARE: NKIRUKA UGOCHI EREKOSIMA M.D., M.P.H.

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	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	D69011	MD
2	207K00000X	Allergy & Immunology Physician	D69011	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	:	1447315536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NKIRUKA UGOCHI EREKOSIMA M.D., M.P.H.

Provider Business Mailing Address
First Line	:	2415 MUSGROVE RD
Second Line	:	SUITE 107
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5202
Country	:	US
Telephone Number	:	301-879-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 MUSGROVE RD
Second Line	:	SUITE 107
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5202
Country	:	US
Telephone Number	:	301-879-7700
Fax Number	:

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	04/06/2015

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