Individual
UDUAK AKAN-ETUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2904 LEATHERWOOD WAY, MIDLOTHIAN, VA 23113-1413
(804) 378-6003
(804) 378-6003
Mailing address
2904 LEATHERWOOD WAY, MIDLOTHIAN, VA 23113-1413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101049496
VA
207R00000X
Internal Medicine Physician
Primary
0101049496
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010396450
—
VA
05
—
010396476
—
VA
Enumeration date
08/26/2005
Last updated
09/26/2022
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