DR. NKECHI PATRICIA UGWUH-MOSS, M.D. - NPI NUMBER 1629189964

Summary

Provider Name: DR. NKECHI PATRICIA UGWUH-MOSS, M.D.

NPI Number: 1629189964

Clasification: Specialist (174400000X)

Address:
500 S UNIVERSITY AVE
SUITE 119
LITTLE ROCK, AR
ZIP 72205

Phone Number: (501) 664-6400



Detailed Information

DR. Nkechi Patricia Ugwuh-moss, M.D. is a specialist in Little Rock, AR with 31 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. The assigned NPI number for this provider is 1629189964 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

500 S UNIVERSITY AVE
SUITE 119
LITTLE ROCK, AR
ZIP 72205-302
Phone: (501) 664-6400
Fax: (501) 664-6431

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/20/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 174400000X Specialist E-1042 AR Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 29188 MEDICARE UPIN
2 5K155 MEDICARE ID-TYPE UNSPECIFIED

NPI Record

No. Field Name Field Value
1 NPI 1629189964
2 Entity Type Code 1
3 Provider Last Name Legal Name UGWUH-MOSS
4 Provider First Name NKECHI
5 Provider Middle Name PATRICIA
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 500 S UNIVERSITY AVE
9 Provider Second Line Business Practice Location Address SUITE 119
10 Provider Business Practice Location Address City Name LITTLE ROCK
11 Provider Business Practice Location Address State Name AR
12 Provider Business Practice Location Address Postal Code 722055302
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 5016646400
15 Provider Business Practice Location Address Fax Number 5016646431
16 Provider Enumeration Date 8/31/2006
17 Last Update Date 11/20/2007
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 174400000X
20 Provider License Number 1 E-1042
21 Provider License Number State Code 1 AR
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 29188
24 Other Provider Identifier Type Code 1 02
25 Other Provider Identifier 2 5K155
26 Other Provider Identifier Type Code 2 04
27 Is Sole Proprietor Y

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This page was last updated on: 7/15/2014
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.