Provider Demographics
NPI:1447268404
Name:UNEZE, ALOZIE I (MD)
Entity type:Individual
Prefix:DR
First Name:ALOZIE
Middle Name:I
Last Name:UNEZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 MERCANTILE LANE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774
Mailing Address - Country:US
Mailing Address - Phone:301-249-0022
Mailing Address - Fax:301-249-7640
Practice Address - Street 1:8220 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:301-459-7990
Practice Address - Fax:301-459-7993
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00625492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406933100Medicaid
DC016522D98Medicare PIN
MD406933100Medicaid