Basic Information
| Provider Information | |||||||||
| NPI: | 1003102831 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ODIGWE | ||||||||
| FirstName: | RUFINA | ||||||||
| MiddleName: | NWANNEKA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8500 NEW HAMPSHIRE AVE | ||||||||
| Address2: | APT 101 | ||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209033340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9092770509 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2139 GEORGIA AVE NW | ||||||||
| Address2: | SUITE 3B | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200013035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028651452 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2011 | ||||||||
| LastUpdateDate: | 05/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 28369 | WV | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.