Individual
BASSEY UJAH OMOJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 PINEY FOREST RD STE B, DANVILLE, VA 24540-4169
(434) 793-7745
(434) 793-7805
Mailing address
140 PINEY FOREST RD STE B, DANVILLE, VA 24540-4169
(434) 793-7745
(434) 793-7805
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101051867
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035675
ANTHEM
VA
01
—
46211
OPTIMA
VA
05
—
89-0614I
—
NC
Enumeration date
08/11/2006
Last updated
07/09/2007
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