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DR. DAVID ISONGUYO UDOM M.D. NPI 1619032067


NPI Information

NPI: 1619032067
Provider Name: DR. DAVID ISONGUYO UDOM, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
ONE MEDICAL CENTER BLVD.
SUITE 103
COOKEVILLE, TN
ZIP 38501
Phone: (931) 783-2770
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DR. David Isonguyo Udom, M.D. is an internal medicine in Cookeville, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. David Isonguyo Udom, M.D. NPI is 1619032067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ONE MEDICAL CENTER BLVD.
SUITE 103
COOKEVILLE, TN
ZIP 38501
Phone: (931) 783-2770
Fax: (931) 525-1176

The enumeration date for this NPI number is 12/26/2006 and was last updated on 12/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD28832TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G88634MEDICARE UPINTENNESSEE
21512299MEDICAIDTENNESSEE
34107089OTHERTENNESSEETNCARE ID NO.
43838489MEDICARE PINTENNESSEE
53838486MEDICAIDTENNESSEE
6G88634MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.