Individual
DR. CHARLES GABRIEL UKPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8905
(760) 837-8956
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8905
(760) 837-8956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A104247
CA
208M00000X
Hospitalist Physician
Primary
A104247
CA
Other
Enumeration date
07/14/2008
Last updated
07/28/2020
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