Individual
DR. JANE N NWAONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 526-1099
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 526-1099
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101263687
VA
207RR0500X
Rheumatology Physician
092697
OH
207RR0500X
Rheumatology Physician
7705
SD
207RR0500X
Rheumatology Physician
P1119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306416401
—
TX
01
—
75-2616977-021
TRICARE
TX
01
—
8DD490
BCBS
TX
01
—
P01093491
RAIL ROAD
TX
Enumeration date
09/10/2007
Last updated
12/09/2020
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