MEDICARE: DR. RITA U ONYEWUENYI 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	208000000X	Pediatrics Physician	D0042791	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	:	1508982935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA U ONYEWUENYI M.D

Provider Business Mailing Address
First Line	:	6001 LANDOVER RD
Second Line	:	SUITE 5
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	301-772-1212
Fax Number	:	301-772-0033

Provider Business Practice Location Address
First Line	:	6001 LANDOVER RD
Second Line	:	SUITE 5
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	301-772-1212
Fax Number	:	301-772-0033

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

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	07/08/2007

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