Ubanwa, Mary O

Ubanwa, Mary O is an individual health care provider with primary practice located at 3500 Franciscan Way , Michigan City IN 46360-0021. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ubanwa, Mary O can be contacted via phone (219) 879-8511.

Contact Information

Primary practice address
3500 Franciscan Way Michigan City IN 46360-0021
Phone: (219) 879-8511
Fax: (219) 877-2000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01056232A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01056232A Indiana

Profile Details

NPI number 1548282668
LBN Legal business name Ubanwa, Mary O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 9th, 2023 - about last year

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 1548282668 NPPES
Indiana Other 000000722209 ANTHEM TRADITIONAL
Indiana Other 616679523 ANTHEM TRADITIONAL
Indiana MEDICAID 200396780 ANTHEM TRADITIONAL
Indiana Other P01050911 ANTHEM TRADITIONAL

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