Basic Information
| Provider Information | |||||||||
| NPI: | 1487069472 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NWOKIDU-ADERIBIGBE | ||||||||
| FirstName: | UCHE | ||||||||
| MiddleName: | UZO | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1025 N DOUTY ST | ||||||||
| Address2: | |||||||||
| City: | HANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932303722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5595371670 | ||||||||
| FaxNumber: | 5595371676 | ||||||||
| Practice Location | |||||||||
| Address1: | 1025 N DOUTY ST | ||||||||
| Address2: | |||||||||
| City: | HANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932303722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5595371670 | ||||||||
| FaxNumber: | 5595371676 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2014 | ||||||||
| LastUpdateDate: | 03/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080N0001X | A147970 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 390200000X | NM | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | A147970 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.