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Individual

DR. UYI-OGHOSA IDEMUDIA

Active
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Individual

DR. UYI-OGHOSA IDEMUDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41633
KY
208M00000X
Hospitalist Physician
MD477800
PA
208M00000X
Hospitalist Physician
ME122009
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41633
KENTUCKY MEDICAL LICENSE
KY
05
7100036960
KY
01
ME122009
STATE MEDICAL LICENSE
FL
Enumeration date
09/29/2005
Last updated
07/07/2025
Update your record

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