Basic Information
Provider Information
NPI: 1215249180
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONUIGBO
FirstName: SUNNY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 763
Address2:  
City: MORGANTOWN
State: WV
PostalCode: 265070763
CountryCode: US
TelephoneNumber: 8005414009
FaxNumber:  
Practice Location
Address1: 327 MEDICAL PARK DR
Address2:  
City: BRIDGEPORT
State: WV
PostalCode: 263309006
CountryCode: US
TelephoneNumber: 6813421000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/08/2010
LastUpdateDate: 01/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X254789MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X254789MAN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X27853WVY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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