| Anthony A Udekwe, MD | |
|
400 Burdick Expy E, Minot, ND 58701-4768 | |
| (701) 857-5413 | |
| (701) 857-5028 |
| Full Name | Anthony A Udekwe |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 400 Burdick Expy E, Minot, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740354646 | NPI | - | NPPES |
| 13086 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9763 (North Dakota) | Primary |
| Entity Name | Trinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony A Udekwe, MD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Anthony A Udekwe, MD 400 Burdick Expy E, Minot, ND 58701-4768 Ph: (701) 857-5413 |
Frederick W Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-7380 Fax: 701-857-7342 | |
Michael J Holland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-7380 Fax: 701-857-7342 | |
Melissa M Messerly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-5413 Fax: 701-857-5028 | |
Himadri Nath, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-418-8000 | |
Thomas D Carver, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 | |
Deborah Reed-thurston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-2531 Fax: 701-857-3169 | |
Friday U Osuala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-7380 Fax: 701-857-7014 |