MEDICARE: DR. UCHEOMA D NWAOGWUGWU MD

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	207R00000X	Internal Medicine Physician	262980	NY
2	207R00000X	Internal Medicine Physician	050970	CT
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207R00000X	Internal Medicine Physician	Q5236	TX

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	:	1720234016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UCHEOMA D NWAOGWUGWU MD

Provider Business Mailing Address
First Line	:	4700 MILLENIA BLVD STE 650
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6013
Country	:	US
Telephone Number	:	407-533-6836
Fax Number	:	407-232-9316

Provider Business Practice Location Address
First Line	:	11978 WESTHEIMER RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6669
Country	:	US
Telephone Number	:	346-275-6750
Fax Number	:	877-542-6970

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

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	04/16/2024

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