Individual
SANDRA ONYEAGORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 COLLEGE AVE, ELLICOTT CITY, MD 21043-5506
(443) 364-5500
Mailing address
7628 ELMCREST RD, HANOVER, MD 21076-1873
(301) 326-7818
(410) 799-1627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2013-00120
NC
2084P0800X
Psychiatry Physician
Primary
D0082306
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104053362
—
NC
Enumeration date
06/16/2009
Last updated
03/17/2018
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