Individual
GEORGE C EGO-OSUALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD., FACP
Contact information
Practice address
7676 NEW HAMPSHIRE AVE, STE 420, TAKOMA PARK, MD 20912-7516
(301) 434-9147
(301) 434-9178
Mailing address
PO BOX 7909, HYATTSVILLE, MD 20787-7909
(301) 434-9147
(301) 434-9178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D 47156
MD
207R00000X
Internal Medicine Physician
MD 21355
DC
208D00000X
General Practice Physician
Primary
D 47156
MD
208D00000X
General Practice Physician
MD 21355
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490330
—
DC
05
—
852000300
—
MD
Enumeration date
06/15/2005
Last updated
05/13/2008
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