Provider Demographics
NPI:1053355735
Name:OUMA, JOSEPH AGAGE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:AGAGE
Last Name:OUMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:377TH MDG, KIRTLAND AFB
Mailing Address - Street 2:2050 A SECOND ST, SE
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87117
Mailing Address - Country:US
Mailing Address - Phone:505-846-3694
Mailing Address - Fax:
Practice Address - Street 1:377TH MDG, KIRTLAND AFB, 2050 A SECOND ST, SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87117
Practice Address - Country:US
Practice Address - Phone:505-846-3694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1605207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine