Provider Demographics
NPI:1164244505
Name:OBIAGWU, SOMTOCHUKWU CALEB
Entity type:Individual
Prefix:MR
First Name:SOMTOCHUKWU
Middle Name:CALEB
Last Name:OBIAGWU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 NORTHLAND BLVD STE 216
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3752
Mailing Address - Country:US
Mailing Address - Phone:832-278-3984
Mailing Address - Fax:
Practice Address - Street 1:230 NORTHLAND BLVD STE 216
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3752
Practice Address - Country:US
Practice Address - Phone:832-278-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide