Individual
DR. ONYEBUCHI UKABIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
27174
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790767903
—
IA
05
—
205325202
—
MO
Enumeration date
11/15/2005
Last updated
10/08/2015
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