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Organization
MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC
Active
Organization
MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC
Active
Other names
MAYIMRAPHA COMPREHENSIVE HEALTHCARE, INC, Mayimrapha Comprehensive Healthcare, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE UKANWA MD (OWNER/PHYSICIAN PROVIDER)
(505) 881-5307
Entity
Organization
Contact information
Practice address
4253 MONTGOMERY BLVD NE STE 220, ALBUQUERQUE, NM 87109-1130
(505) 881-5307
(505) 908-3816
Mailing address
PO BOX 27453, ALBUQUERQUE, NM 87125-7453
(505) 881-5307
(505) 908-3816
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59673079
—
NM
05
—
77671058
—
NM
Enumeration date
07/27/2011
Last updated
10/24/2025
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