Ugbana, Obiaghanwa S

Ugbana, Obiaghanwa S is an individual health care provider with primary practice located at 25500 Point Lookout Rd Fl 1 , Leonardtown MD 20650. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ugbana, Obiaghanwa S can be contacted via phone (240) 434-7154.

Contact Information

Primary practice address
25500 Point Lookout Rd Fl 1 Leonardtown MD 20650
Fax: (301) 475-6190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35075907 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.075907 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D88070 Maryland

Profile Details

NPI number 1730177866
LBN Legal business name Ugbana, Obiaghanwa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Dec 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730177866 NPPES
West Virginia Other 1807260000 MEDICAID
West Virginia Other 64036684 MEDICAID
West Virginia MEDICAID 2184890 MEDICAID

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