Provider Demographics
NPI:1710771761
Name:OGBONNAYA, DONALD UGONNA
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:UGONNA
Last Name:OGBONNAYA
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 1:403 MISTY WOOD WAY APT A
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1640
Mailing Address - Country:US
Mailing Address - Phone:667-405-6288
Mailing Address - Fax:
Practice Address - Street 1:403 MISTY WOOD WAY APT A
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-1640
Practice Address - Country:US
Practice Address - Phone:667-405-6288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10274984348104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker