Individual
UCHENNA THERESE IKEDIOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10004 KENNERLY RD STE 171B, SAINT LOUIS, MO 63128-2176
(314) 821-0900
Mailing address
10004 KENNERLY RD STE 171B, SAINT LOUIS, MO 63128-2176
(314) 821-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-8949
IA
207RI0200X
Infectious Disease Physician
Primary
2022027324
MO
207RI0200X
Infectious Disease Physician
54566
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
06/10/2010
Last updated
07/21/2022
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