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Individual

UCHE N OBISIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1350 JACKIE RD SE STE 101, RIO RANCHO, NM 87124-1519
(505) 892-7518
Mailing address
1350 JACKIE RD SE STE 101, RIO RANCHO, NM 87124-1519
(505) 892-7518

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2006-0141
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71854851
NM
01
NM001P72
BCBS
NM
01
P00339560
RAIL ROAD MEDICARE
NM
Enumeration date
07/08/2006
Last updated
02/12/2023
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