Provider Demographics
NPI:1144356932
Name:UGBAJAH, BENJAMIN ONYEKA (RN)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ONYEKA
Last Name:UGBAJAH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5912 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1606
Mailing Address - Country:US
Mailing Address - Phone:412-361-1377
Mailing Address - Fax:
Practice Address - Street 1:5912 BRYANT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1606
Practice Address - Country:US
Practice Address - Phone:412-361-1377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN566044163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse