Provider Demographics
NPI:1164743563
Name:HUSBANDS-ONYEUKWU, MONIQUE A (MD)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:A
Last Name:HUSBANDS-ONYEUKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9501 OLD ANNAPOLIS RD STE 308
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6337
Mailing Address - Country:US
Mailing Address - Phone:301-621-6570
Mailing Address - Fax:844-606-5116
Practice Address - Street 1:9501 OLD ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-6314
Practice Address - Country:US
Practice Address - Phone:301-621-6570
Practice Address - Fax:844-606-5116
Is Sole Proprietor?:No
Enumeration Date:2010-06-20
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD0076835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program