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NPI Code Detail

MEDICARE: DR. JOHN E UKADIKE DO

MEDICARE: DR. JOHN E UKADIKE DO
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
1390200000XStudent in an Organized Health Care Education/Training Program2869NE
2207P00000XEmergency Medicine PhysicianW3887TX

General Provider Information

NPI Number : 1679101174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN E UKADIKE DO
Provider Business Mailing Address
First Line : 300 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1032
Country : US
Telephone Number : 512-509-0100
Fax Number :
Provider Business Practice Location Address
First Line : 300 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1032
Country : US
Telephone Number : 512-509-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 05/07/2026

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Directions to “ DR. JOHN E UKADIKE DO” Practice Location

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