Individual
MIRIAM IBHADE UDUEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5758
(207) 626-7400
(207) 626-7401
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5758
(207) 626-7400
(207) 626-7401
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD24835
ME
390200000X
Student in an Organized Health Care Education/Training Program
EC211071
ME
Other
Enumeration date
06/08/2021
Last updated
08/19/2025
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