Individual provider · Type 1 NPI

Modestus Chinenyenwa Nwogu

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1790613461 Active

Practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Call (215) 335-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790613461

Modestus Chinenyenwa Nwogu's National Provider Identifier is 1790613461, issued on May 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 12, 2026.