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Individual

DR. IHUOMA NICOLE OKEZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D70968
MD
2084P0800X
Psychiatry Physician
M8224
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
510722900
MD
Enumeration date
01/24/2008
Last updated
12/11/2012
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