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NPI Code Detail

MEDICARE: SIR AKOMA MEDICAL SERVICES

MEDICARE: SIR AKOMA MEDICAL SERVICES
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1144702473
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIR AKOMA MEDICAL SERVICES
Provider Business Mailing Address
First Line : 543 GUMA YUOS LANE
Second Line :
City : TAMUNING
State : GU
Zip : 96913-3143
Country : US
Telephone Number : 671-588-2873
Fax Number :
Provider Business Practice Location Address
First Line : 543 GUMA YUOS LN
Second Line :
City : TAMUNING
State : GU
Zip : 96913-3143
Country : US
Telephone Number : 671-588-2873
Fax Number : 855-540-2437
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. UGOCHUKWU E AKOMA
Credential : MD
Telephone Number : 671-588-2873
Provider Enumeration Date : 09/04/2018
Last Update Date : 06/20/2024

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Directions to “SIR AKOMA MEDICAL SERVICES ” Practice Location

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