| Ufomadu & Associates Inc | |
|
1940 W Baltimore St Baltimore MD 21223-2245 | |
| (410) 383-4030 | |
| (410) 998-3931 |
| Full Name | Ufomadu & Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1940 W Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Louise Macy (BILLING MGR) |
| Authorized Official Contact | 4109983920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ufomadu & Associates Inc 2115 Parkside Dr Bowie MD 20721-4227 Ph: (410) 998-3920 | Ufomadu & Associates Inc 1940 W Baltimore St Baltimore MD 21223-2245 Ph: (410) 383-4030 |
| NPI Number | 1184839102 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 4981652310 |
|---|---|
| Medicare Enrollment ID | O20050112000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184839102 | NPI | - | NPPES |
| 224401201 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D45925 (Maryland) | Primary |
| Provider Name | Chukwuemeka C Ufomadu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164424545 PECOS PAC ID: 1254389687 Enrollment ID: I20050112000185 |
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