Individual
DR. OBIOMA B NWAIWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4301 W MARKHAM ST # 748, LITTLE ROCK, AR 72205-7101
(501) 686-6219
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-12659
AR
207Q00000X
Family Medicine Physician
E-12659
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
E-12659
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
08/25/2021
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