Individual
ONYEOZIRI RAPHAEL NWANGUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 SECOND AVENUE EAST, SUITE A4, BOWLING GREEN, KY 42101-1789
(717) 531-8521
Mailing address
825 SECOND AVENUE EAST, SUITE A4, BOWLING GREEN, KY 42101-1789
(270) 796-6333
(270) 780-2793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45330
KY
208600000X
Surgery Physician
MT049539T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100221340
—
KY
Enumeration date
06/10/2008
Last updated
06/01/2017
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