Individual
DR. UGONNA THOMAS NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 362-1291
(314) 747-8213
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 747-8213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020041928
MO
207RA0002X
Adult Congenital Heart Disease Physician
Primary
2020041928
MO
207RC0000X
Cardiovascular Disease Physician
2020041928
MO
208000000X
Pediatrics Physician
2020041928
MO
2080P0202X
Pediatric Cardiology Physician
2020041928
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200091800
—
MO
Enumeration date
06/11/2010
Last updated
06/20/2025
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