Udofa, Aniedi Etukudo Fred

Udofa, Aniedi Etukudo Fred is an individual health care provider with primary practice located at 3843 Harding Blvd , Baton Rouge LA 70807-5224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Udofa, Aniedi Etukudo Fred can be contacted via phone (225) 953-9315.

Contact Information

Primary practice address
3843 Harding Blvd Baton Rouge LA 70807-5224
Fax: (225) 359-9326
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14261R Louisiana

Profile Details

NPI number 1659432193
LBN Legal business name Udofa, Aniedi Etukudo Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1659432193 NPPES
Louisiana MEDICAID 1572101

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