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:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6084
Mailing Address - Country:US
Mailing Address - Phone:636-735-4122
Mailing Address - Fax:
Practice Address - Street 1:17701 EDISON AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1266
Practice Address - Country:US
Practice Address - Phone:636-735-4122
Practice Address - Fax:636-735-4123
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022025396207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine