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Organization

CHIDI UKATU, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIDI JUDE UKATU M.D. (PRESIDENT)
(310) 701-8216
Entity
Organization

Contact information

Practice address
10521 RUTHELEN ST, LOS ANGELES, CA 90047-4341
(310) 701-8216
Mailing address
PO BOX 906, SALIDA, CA 95368-0906
(209) 577-9900
(209) 577-1509

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A101948
CA

Other

Enumeration date
02/15/2008
Last updated
02/08/2017
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