Individual
BOMA UGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 5380, COLUMBUS, OH 43214-3937
(614) 566-4710
(614) 566-6636
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
04-43615
KS
2084P0800X
Psychiatry Physician
Primary
35C.001826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1P0610
PTAN
TX
Enumeration date
06/26/2017
Last updated
04/03/2025
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