Individual
DR. OYIJE SUSAN IHEAGWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-6620
Mailing address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD445700
PA
207RN0300X
Nephrology Physician
D0076497
MD
207RN0300X
Nephrology Physician
Primary
MD038844
DC
207RN0300X
Nephrology Physician
MD445700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102724100
—
PA
01
—
2718719
HIGHMARK BLUE SHIELD
PA
01
—
30122860
AMERIHEALTH MERCY - WMG
PA
01
—
418683
UPMC
PA
01
—
P01110056
RAILROAD MEDICARE
PA
Enumeration date
12/03/2007
Last updated
11/10/2015
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