Provider Demographics
NPI:1619047610
Name:OJIAKU, HERBERT UZOMA (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:UZOMA
Last Name:OJIAKU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1102 W URAL DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-4059
Mailing Address - Country:US
Mailing Address - Phone:505-885-9246
Mailing Address - Fax:505-885-9246
Practice Address - Street 1:2013 SAN JOSE BLVD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5426
Practice Address - Country:US
Practice Address - Phone:505-887-2455
Practice Address - Fax:505-885-2252
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0598207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine