Adeso, Mukong

Adeso, Mukong is an individual health care provider with primary practice located at Uva Hospital Lee Street 1St Floor, Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Adeso, Mukong can be contacted via phone (434) 924-9954.

Contact Information

Primary practice address
Uva Hospital Lee Street 1St Floor Charlottesville VA 22908-0001
Phone: (434) 924-9954
Fax: (434) 982-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116015832 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101244064 Virginia

Profile Details

NPI number 1619186004
LBN Legal business name Adeso, Mukong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Feb 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619186004 NPPES
Virginia MEDICAID 1619186004

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