| Uche Osadebe M.d. | |
|
115 Broadway Ste 1800 New York NY 10006-1652 | |
| (646) 517-4271 | |
| (888) 920-1521 |
| Full Name | Uche Osadebe M.d. |
|---|---|
| Speciality | General Practice |
| Location | 115 Broadway Ste 1800, New York, New York |
| Authorized Official Name and Position | Uchechukwuka Osadebe (PHYSICIAN) |
| Authorized Official Contact | 8328592054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uche Osadebe M.d. 159 2nd St Apt 605 Jersey City NJ 07302-6100 Ph: (832) 859-2054 | Uche Osadebe M.d. 115 Broadway Ste 1800 New York NY 10006-1652 Ph: (646) 517-4271 |
| NPI Number | 1104436021 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 3476972712 |
|---|---|
| Medicare Enrollment ID | O20201006000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104436021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Uchechukwuka Osadebe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225448996 PECOS PAC ID: 4385063627 Enrollment ID: I20201006000985 |
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