Mbonu, Ikechukwu D

Mbonu, Ikechukwu D is an individual health care provider with primary practice located at 7350 Van Dusen Rd Ste 130 , Laurel MD 20707-5267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mbonu, Ikechukwu D can be contacted via phone (240) 294-6677.

Contact Information

Primary practice address
7350 Van Dusen Rd Ste 130 Laurel MD 20707-5267
Phone: (240) 294-6677
Fax: (240) 294-7645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD035226 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0059649 Maryland

Profile Details

NPI number 1841291788
LBN Legal business name Mbonu, Ikechukwu D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841291788 NPPES
Maryland MEDICAID 402755800

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