Healthcare Provider Details

I. General information

NPI: 1841687407
Provider Name (Legal Business Name): UGORJI IHUARULAM CHIEMEKA OKORIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 DRY CREEK DR STE 200
LONGMONT CO
80503-6409
US

IV. Provider business mailing address

10465 PARK MEADOWS DR STE 201
LONE TREE CO
80124-5321
US

V. Phone/Fax

Practice location:
  • Phone: 720-279-9098
  • Fax: 303-248-3589
Mailing address:
  • Phone: 720-279-9098
  • Fax: 303-248-3589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberDR.0075867
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: