Individual
UWAYEMWEN OGBONMWONKPA AIDEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME69757
FL
2085R0202X
Diagnostic Radiology Physician
ME69757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28338
AVMED
FL
01
—
300132744
RAILROAD MEDICARE
FL
05
—
379203000
—
FL
Enumeration date
05/23/2005
Last updated
03/07/2023
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