| Chijioke D. Ukoha Md Pa | |
|
1800 N Galloway Ave Suite 100 Mesquite TX 75149-2299 | |
| (972) 279-1700 | |
| (972) 279-1102 |
| Full Name | Chijioke D. Ukoha Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Chijioke David Ukoha (PHYSICIAN) |
| Authorized Official Contact | 9722791700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chijioke D. Ukoha Md Pa 306 Stonemeade Way Coppell TX 75019-2679 Ph: (972) 279-1700 | Chijioke D. Ukoha Md Pa 1800 N Galloway Ave Suite 100 Mesquite TX 75149-2299 Ph: (972) 279-1700 |
| NPI Number | 1053591164 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 5890953301 |
|---|---|
| Medicare Enrollment ID | O20120229000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053591164 | NPI | - | NPPES |
| 132062409 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J8405 (Texas) | Primary |
| Provider Name | Chijioke Ukoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066634 PECOS PAC ID: 7911053012 Enrollment ID: I20120229000562 |
| Provider Name | Victoria Ego Ukoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392444 PECOS PAC ID: 4789717117 Enrollment ID: I20161212000672 |
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