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
Fax: (505) 200-3756
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114969896 NPPES
Other NMAAA2194 MEDICARE PTAN
MEDICAID 17670721 MEDICARE PTAN

Popular Providers