Individual
OBIAGELI UCHENNA OGBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 QUEENS RD STE 400, CHARLOTTE, NC 28204-3215
(980) 302-6400
(980) 302-6405
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4485
(704) 316-4490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201001465
NC
207RH0003X
Hematology & Oncology Physician
2010-01465
NC
207RH0003X
Hematology & Oncology Physician
201001465
NC
207RX0202X
Medical Oncology Physician
Primary
2010-01465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346552692
—
NC
05
—
NC1257
—
SC
Enumeration date
07/01/2010
Last updated
07/11/2024
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