Healthcare Provider Details

I. General information

NPI: 1821613399
Provider Name (Legal Business Name): THE FOOT AND ANKLE CLINIC OF ALBUQUERQUE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 MONTGOMERY BLVD NE BLDG E4
ALBUQUERQUE NM
87109-1554
US

IV. Provider business mailing address

7520 MONTGOMERY BLVD NE BLDG E4
ALBUQUERQUE NM
87109-1554
US

V. Phone/Fax

Practice location:
  • Phone: 505-717-1591
  • Fax: 505-404-8206
Mailing address:
  • Phone: 505-717-1591
  • Fax: 505-404-8206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. UCHENNA CHUKWURAH
Title or Position: FOOT AND ANKLE SURGEON
Credential: DPM
Phone: 505-550-0858