Individual
DR. RAYMOND O NWADIUKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
M34279
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522090806
TAX ID
MD
Enumeration date
05/25/2006
Last updated
10/15/2013
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