Provider Demographics
NPI:1164266557
Name:EKETE, OGOCHUKWU AUGUSTINA (MD)
Entity type:Individual
Prefix:
First Name:OGOCHUKWU
Middle Name:AUGUSTINA
Last Name:EKETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OGOCHUKWU
Other - Middle Name:AUGUSTINA
Other - Last Name:MBAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION
Mailing Address - Street 2:501 S WASHINGTON AVENUE
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505
Mailing Address - Country:US
Mailing Address - Phone:570-343-2383
Mailing Address - Fax:570-343-4800
Practice Address - Street 1:THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION
Practice Address - Street 2:501 S WASHINGTON AVENUE
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505
Practice Address - Country:US
Practice Address - Phone:570-343-2383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program