Provider Demographics
NPI:1144243320
Name:ORAZULIKE, UCHENNA OBIAGELI (MD)
Entity type:Individual
Prefix:DR
First Name:UCHENNA
Middle Name:OBIAGELI
Last Name:ORAZULIKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:UCHENNA
Other - Middle Name:OBIAGELI
Other - Last Name:OGBUTOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:21 VERONICA CT
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3772
Mailing Address - Country:US
Mailing Address - Phone:732-416-8030
Mailing Address - Fax:732-360-0271
Practice Address - Street 1:970 ROUTE 70
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3502
Practice Address - Country:US
Practice Address - Phone:732-836-6020
Practice Address - Fax:732-836-6001
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA69850207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8237107Medicaid
NJ8237107Medicaid
NJH30868Medicare UPIN