MEDICARE: MRS. NGOZI NNENNANYA UDE-OSHIYOYE M.D.

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	207Q00000X	Family Medicine Physician	25427	WV

General Provider Information

NPI Number	:	1467616425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NGOZI NNENNANYA UDE-OSHIYOYE M.D.

Provider Business Mailing Address
First Line	:	202 FOXCROFT AVE
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-5312
Country	:	US
Telephone Number	:	304-350-1087
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 FOXCROFT AVE
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-5312
Country	:	US
Telephone Number	:	304-350-1087
Fax Number	:

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

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	01/12/2026

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