MEDICARE: FOLUKE ADEYINKA UCHE 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
1	207R00000X	Internal Medicine Physician	12535	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00664742	OTHER	NV	RAILROAD 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
2	12535	OTHER	NV	STATE LICENSE

General Provider Information

NPI Number	:	1841472438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FOLUKE ADEYINKA UCHE MD

Provider Business Mailing Address
First Line	:	2370 CORPORATE CIR STE 300
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7760
Country	:	US
Telephone Number	:	702-910-3950
Fax Number	:	702-778-2264

Provider Business Practice Location Address
First Line	:	653 N TOWN CENTER DR STE 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0515
Country	:	US
Telephone Number	:	702-844-4842
Fax Number	:	702-844-4845

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

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	11/30/2021

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Directions to “ FOLUKE ADEYINKA UCHE MD” Practice Location

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