Provider Demographics
NPI:1679553291
Name:UKOHA, IGWE (MD,)
Entity type:Individual
Prefix:DR
First Name:IGWE
Middle Name:
Last Name:UKOHA
Suffix:
Gender:M
Credentials:MD,
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Mailing Address - Street 1:8920 WILSHIRE BLVD STE 601
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1960
Mailing Address - Country:US
Mailing Address - Phone:310-659-9067
Mailing Address - Fax:310-659-9057
Practice Address - Street 1:8920 WILSHIRE BLVD STE 601
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1960
Practice Address - Country:US
Practice Address - Phone:310-274-7300
Practice Address - Fax:310-274-7301
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2021-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA51780207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA51780AMedicare PIN
CAWA51780BMedicare PIN