MEDICARE: DR. VICTOR ESSIEN UKO M.D.

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
1	208000000X	Pediatrics Physician	59958	WI
2	2080P0206X	Pediatric Gastroenterology Physician	C2724	KY
3	2080P0206X	Pediatric Gastroenterology Physician	59958	WI
4	2080P0206X	Pediatric Gastroenterology Physician	344688	LA
5	390200000X	Student in an Organized Health Care Education/Training Program
6	2080P0206X	Pediatric Gastroenterology Physician	MD482581	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	K0014706	OTHER	KY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639348832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR ESSIEN UKO M.D.

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	2508 BERT KOUNS INDUSTRIAL LOOP STE 101
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71118-3175
Country	:	US
Telephone Number	:	318-212-5811
Fax Number	:	318-212-5844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	08/12/2025

Similar Medicare Providers

1861496770 — CLINT M CORMIER MD
Practice Location Address:

2508 BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA
71118-3175

Practice Phone: 318-212-5860
Practice Fax: 318-212-5865

1912968843 — CHRISTIAN MICHAEL BRIERY MD
Practice Location Address:

2508 BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA
71118-3175

Practice Phone: 318-212-5860
Practice Fax: 318-212-5865

1740481506 — DR. ANSHUMAN JYOTI M.D.
Practice Location Address:

2508 BERT KOUNS INDUSTRIAL LOOP STE 203
SHREVEPORT, LA
71118-3175

Practice Phone: 318-212-5871
Practice Fax:

1902085186 — WK KINNEBREW AND JOHNSON CLINIC
Practice Location Address:

2508 BERT KOUNS LOOP STE 102
SHREVEPORT, LA
71118-3175

Practice Phone: 318-688-6630
Practice Fax: 318-688-6014

1346487808 — ROOPASHREE MURALIDHAR M.D.
Practice Location Address:

2508 BERT KOUNS INDUSTRIAL LOOP STE 102
SHREVEPORT, LA
71118-3175

Practice Phone: 318-212-5777
Practice Fax: 318-212-5888

1053726752 — MRS. AMANDA LANE LEWIS FNP
Practice Location Address:

2508 BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA
71118-3175

Practice Phone: 318-797-2328
Practice Fax: 318-212-5674

Directions to “ DR. VICTOR ESSIEN UKO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.