| Uka Healthcare Services Llc | |
|
919 Mesa Roja Trl Ne Rio Rancho NM 87124-6388 | |
| (203) 901-2493 | |
| (866) 530-1835 |
| Full Name | Uka Healthcare Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 919 Mesa Roja Trl Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Odinaka Nnanna (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uka Healthcare Services Llc 919 Mesa Roja Trl Ne Rio Rancho NM 87124-6388 Ph: (203) 901-2493 | Uka Healthcare Services Llc 919 Mesa Roja Trl Ne Rio Rancho NM 87124-6388 Ph: (203) 901-2493 |
| NPI Number | 1851030167 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 1355724303 |
|---|---|
| Medicare Enrollment ID | O20220824000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851030167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | David A Podolsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104965102 PECOS PAC ID: 6901958826 Enrollment ID: I20090723000177 |
| Provider Name | Comfort L Bonu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184696064 PECOS PAC ID: 2961477765 Enrollment ID: I20100526001097 |
| Provider Name | Odinaka Joseph Nnanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083036917 PECOS PAC ID: 7214152792 Enrollment ID: I20140626001076 |
| Provider Name | Ebubechukwu C Njemanze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144774712 PECOS PAC ID: 4981948833 Enrollment ID: I20190722002648 |
| Provider Name | Martin Manuel Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265094916 PECOS PAC ID: 2466883053 Enrollment ID: I20200514002900 |
| Provider Name | Patricia Diane Olguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376259747 PECOS PAC ID: 6406228543 Enrollment ID: I20230217001932 |
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