Individual
IFEOMA UGONABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 UNION AVE STE 965, MEMPHIS, TN 38104
(901) 435-8550
(901) 478-0781
Mailing address
PO BOX 1000, DEPT 960, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097106
MI
207R00000X
Internal Medicine Physician
61328
CT
207RC0000X
Cardiovascular Disease Physician
Primary
60179
TN
Other
Enumeration date
07/10/2010
Last updated
12/03/2019
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