Individual
EJIRO EDWARD UGHOVWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 N 6TH ST, KINDER, LA 70648-3519
(337) 738-9494
Mailing address
3716 WOODSEND DR, SULPHUR, LA 70665-8654
(917) 294-3465
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14354R
LA
207R00000X
Internal Medicine Physician
Primary
14354R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103985
—
LA
Enumeration date
06/03/2006
Last updated
11/08/2023
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