Individual
DR. FIDELIS KANAYO UNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 HEMPHILL ST., SUITE 101, FORT WORTH, TX 76104-4137
(817) 923-8484
(817) 923-8494
Mailing address
609 HEMPHILL ST., SUITE 101, FORT WORTH, TX 76104-4137
(817) 923-8484
(817) 923-8494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239922
NY
207R00000X
Internal Medicine Physician
Primary
M5959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00092354001
HEALTHNOW
—
05
—
02496142
—
NY
01
—
118542BJ
PREFERRED CARE
—
01
—
2591789
GROUP HEALTH INCORP.
—
01
—
7116498
AETNA
—
01
—
P01001955
EXCELLUS
—
Enumeration date
06/07/2006
Last updated
04/16/2014
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