Uchenna Uzoukwu, Md Llc | |
121 Progress Ave Fl 2 Pottsville PA 17901-2968 | |
(570) 621-5015 | |
(570) 621-5858 |
Full Name | Uchenna Uzoukwu, Md Llc |
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Speciality | Psychiatry & Neurology |
Location | 121 Progress Ave Fl 2, Pottsville, Pennsylvania |
Authorized Official Name and Position | Uchenna Uzoukwu (PHYSICIAN) |
Authorized Official Contact | 5706215015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Uchenna Uzoukwu, Md Llc Po Box 561 Pottsville PA 17901-0561 Ph: (570) 621-5015 | Uchenna Uzoukwu, Md Llc 121 Progress Ave Fl 2 Pottsville PA 17901-2968 Ph: (570) 621-5015 |
NPI Number | 1811032253 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 03/16/2020 |
Certification Date | 03/16/2020 |
Medicare PECOS PAC ID | 7810910502 |
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Medicare Enrollment ID | O20060109000668 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811032253 | NPI | - | NPPES |
1015888550001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD059079L (Pennsylvania) | Primary |
Provider Name | Uchenna Cosmas Uzoukwu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750359964 PECOS PAC ID: 9335162023 Enrollment ID: I20060110000279 |
Provider Name | Christiana Nduka-onwuka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962027979 PECOS PAC ID: 9032526827 Enrollment ID: I20210721004195 |
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