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Individual

DR. EJIKEME UCHENNA NWOKOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12221 TULLAMORE RD, LUTHERVILLE, MD 21093-7816
(410) 469-5980
(410) 469-5851
Mailing address
12221 TULLAMORE RD, LUTHERVILLE, MD 21093-7816
(410) 469-5980
(410) 469-5851

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40592
TN
207R00000X
Internal Medicine Physician
Primary
D77814
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40592
LICENSE
TN
Enumeration date
05/19/2006
Last updated
06/12/2025
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