Individual
DR. ONYEBUCHI UKABIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1206 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6546
(515) 241-8939
Mailing address
1200 PLEASANT STREET, DES MOINES, IA 50309-1453
(515) 241-5926
(515) 241-5127
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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