MEDICARE: DR. MARIA K. NWOKIKE 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	12597	NV

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	:	1689612624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA K. NWOKIKE M.D.

Provider Business Mailing Address
First Line	:	5105 CAMINO AL NORTE
Second Line	:	100
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2373
Country	:	US
Telephone Number	:	702-750-2438
Fax Number	:	702-750-2173

Provider Business Practice Location Address
First Line	:	5105 CAMINO AL NORTE
Second Line	:	100
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2373
Country	:	US
Telephone Number	:	702-750-2438
Fax Number	:	702-750-2173

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	09/14/2018

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