MEDICARE: ULRICHE FOUEDJI NANA MCCURDY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	E-15665	AR
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1548722507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ULRICHE FOUEDJI NANA MCCURDY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-338-2142
Fax Number	:	479-338-2906

Provider Business Practice Location Address
First Line	:	2708 S RIFE MEDICAL LN
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-9122
Country	:	US
Telephone Number	:	479-338-2142
Fax Number	:	479-338-2906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	04/07/2026

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