Fidelis Iguodala Uwensuyi-Edosomwan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9600362 Issued in NC

Practice address

1805 Milton Rd
Charlotte, NC 28215-2437

Phone

(704) 535-0400

Fax

(704) 535-3443

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1962446252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 MILTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152437",
            "telephone_number": "704-535-0400",
            "fax_number": "704-535-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MILTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152437",
            "telephone_number": "704-535-0400",
            "fax_number": "704-535-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWENSUYI-EDOSOMWAN",
        "first_name": "FIDELIS",
        "middle_name": "IGUODALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012WU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela P Utesch, PT
• Lynn R. Utrata, RN IBCLC
• Daniela Utrera
• Katherine Utz
• Abieyuwa Winifred Uwensuyi-Edosomwan
• Lauren Marion Uxa, NP
• Godwin Obinna Uzomba, M.D.
• Chidera Uzowihe, MD, MPH
• V Pain, LLC
• V.I.P. Youth & Family Services LLC

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.