Ukanwa, Melanie M
Ukanwa, Melanie M is an individual health care provider with primary practice located at 4233 Montgomery Blvd Ne Ste 100 , Albuquerque NM 87109-6707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ukanwa, Melanie M can be contacted via phone (505) 287-5365.Contact Information
Primary practice address
4233 Montgomery Blvd Ne Ste 100
Albuquerque NM 87109-6707
Phone: (505) 287-5365
Fax: (505) 200-3756
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20060291 | New Mexico |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | MD20060291 | New Mexico |
Profile Details
NPI number | 1114969896 |
---|---|
LBN Legal business name | Ukanwa, Melanie M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Jan 31st, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114969896 | NPPES |
Other | NMAAA2194 | MEDICARE PTAN | |
MEDICAID | 17670721 | MEDICARE PTAN |
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