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NPI Code Detail

MEDICARE: DR. ADANNA C UKAZU MD

MEDICARE:  DR. ADANNA C UKAZU  MD
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
1207V00000XObstetrics & Gynecology Physician25MA09494300NJ
22083A0300XAddiction Medicine (Preventive Medicine) PhysicianS8781TX
3207VG0400XGynecology PhysicianS8781TX

General Provider Information

NPI Number : 1154612760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADANNA C UKAZU MD
Provider Business Mailing Address
First Line : 2238 ALMOND CREEK LN
Second Line :
City : BROOKSHIRE
State : TX
Zip : 77423-2983
Country : US
Telephone Number : 979-267-0368
Fax Number : 917-900-1547
Provider Business Practice Location Address
First Line : 12000 RICHMOND AVE STE 215
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2428
Country : US
Telephone Number : 979-267-0368
Fax Number : 917-900-1547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2011
Last Update Date : 07/12/2023

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Directions to “ DR. ADANNA C UKAZU MD” Practice Location

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