Healthcare Provider Details

I. General information

NPI: 1548651201
Provider Name (Legal Business Name): ERINMA UKOHA MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST
NEW YORK NY
10029
US

IV. Provider business mailing address

422 W 154TH ST
NEW YORK NY
10032-6302
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA159513
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number309999
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: