Provider Demographics
NPI:1447282231
Name:WAMUO, NGOZI J (MD)
Entity type:Individual
Prefix:
First Name:NGOZI
Middle Name:J
Last Name:WAMUO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:525 PORTLAND AVE. SO.
Mailing Address - Street 2:HSB MC 952
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415
Mailing Address - Country:US
Mailing Address - Phone:612-348-9840
Mailing Address - Fax:612-596-7900
Practice Address - Street 1:1801 NICOLLET AVE.
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403
Practice Address - Country:US
Practice Address - Phone:612-348-9840
Practice Address - Fax:612-596-7900
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-04-25
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Provider Licenses
StateLicense IDTaxonomies
MN421072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H42423Medicare UPIN