Basic Information
Provider Information
NPI: 1811335235
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OJIAKU
FirstName: NNEOMA
MiddleName: NWACHUKU
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 777 12TH ST STE 250
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958141929
CountryCode: US
TelephoneNumber: 9165505487
FaxNumber: 9169306506
Practice Location
Address1: 7601 HOSPITAL DR STE 220
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958235408
CountryCode: US
TelephoneNumber: 9167375555
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/07/2013
LastUpdateDate: 08/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA166488CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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