Healthcare Provider Details

I. General information

NPI: 1548038805
Provider Name (Legal Business Name): MEDICAL PROVIDERS PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N LANSDOWNE AVE
LANSDOWNE PA
19050-2205
US

IV. Provider business mailing address

25 N LANSDOWNE AVE
LANSDOWNE PA
19050-2205
US

V. Phone/Fax

Practice location:
  • Phone: 631-268-5644
  • Fax: 302-397-8282
Mailing address:
  • Phone: 835-226-8516
  • Fax: 302-397-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN UGBODE
Title or Position: PHYSICIAN
Credential: MD
Phone: 835-226-8516