Oti, Ifeatu Uchenna

Oti, Ifeatu Uchenna is an individual health care provider with primary practice located at 1133 Medical Dr , Tyler TX 75701-2130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Oti, Ifeatu Uchenna can be contacted via phone (903) 595-5486.

Contact Information

Primary practice address
1133 Medical Dr Tyler TX 75701-2130
Phone: (903) 595-5486
Fax: (903) 595-5128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34742 Oklahoma
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 7363 South Dakota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35.086016 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X N5305 Texas

Profile Details

NPI number 1003087388
LBN Legal business name Oti, Ifeatu Uchenna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated May 4th, 2023 - about 2 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 1003087388 NPPES
Texas MEDICAID 2108011-01
Texas MEDICAID 200280780 A

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