Provider Demographics
NPI:1548919947
Name:NGARI EGEKEZE, ADAOMA VERA (MD)
Entity type:Individual
Prefix:
First Name:ADAOMA
Middle Name:VERA
Last Name:NGARI EGEKEZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADAOMA
Other - Middle Name:VERA
Other - Last Name:NGARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6420 CLAYTON RD RM 2233
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1811
Mailing Address - Country:US
Mailing Address - Phone:314-951-7240
Mailing Address - Fax:314-951-7241
Practice Address - Street 1:401 HOLLY HILLS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-2410
Practice Address - Country:US
Practice Address - Phone:314-353-5190
Practice Address - Fax:314-353-7631
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program