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Individual
KALU UGWA OGBUREKE
Active
Individual
KALU UGWA OGBUREKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
28579
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1418385
UNITED CONCORDIA
GA
01
—
22BDFBT
MEDICARE
GA
05
—
586469939A
—
GA
05
—
ZG0326
—
SC
Enumeration date
12/06/2006
Last updated
09/27/2024
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