Individual
DR. EBUKA UDORJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-4092
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
341395
LA
208M00000X
Hospitalist Physician
Primary
341395
LA
Other
Enumeration date
07/07/2021
Last updated
01/20/2025
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