Individual
DR. IKENNA ONYENEMEZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PARKWAY, ANNAPOLIS, MD 21401-3280
(443) 481-1750
(443) 481-1687
Mailing address
PO BOX 64916, BALTIMORE, MD 21264-4916
(443) 481-6469
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D73676
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607156012
DEPARTMENT OF LABOR
—
Enumeration date
05/27/2009
Last updated
06/13/2012
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