Individual
DR. UYI-OGHOSA IDEMUDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6878
Mailing address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6878
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
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