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Individual

EMMANUEL E. UGBARUGBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
(614) 293-9789
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2046

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008017234
MO
207R00000X
Internal Medicine Physician
35126820
OH
207RG0100X
Gastroenterology Physician
Primary
35.126820
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176769001
AR
05
1831353283
MO
01
431560263
TRICARE WEST
01
P00689772
RAILROAD MEDICARE
05
PENDING
OH
Enumeration date
07/15/2008
Last updated
02/26/2026
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