Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 36093 | AZ |
N | 111NI0900X | Internist | 36093 | AZ |
Y | 207RI0200X | Infectious Disease | 36093 | AZ |
NPI | 1013085091 |
---|---|
Provider Name | Dr. Anayochukwu Uche |
First Address | Bullhead City, AZ 86442-7959 |
Second Address | Bullhead City, AZ 86442-7959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 01/10/2014 |