Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olisaemeka Enwezoh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023706942

Olisaemeka Enwezoh is a Student in an Organized Health Care Education/Training Program in Bowie, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

10605 Heather Glen Way
Bowie, MD 20720-4280
Phone: (301) 476-3233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023706942
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address240 S 40th St, Philadelphia, PA 19104-6030

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