MIRIAM IBHADE UDUEBOR MD NPI 1477120590

NPI Information

  • NPI: 1477120590
  • Provider Name: MIRIAM IBHADE UDUEBOR, MD
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 E CHESTNUT ST
    AUGUSTA, ME
    ZIP 04330
  • Phone: (207) 626-7400

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NPI Details

Miriam Ibhade Uduebor, MD is a geriatric medicine family medicine in Augusta, ME with 10 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Miriam Ibhade Uduebor, MD NPI is 1477120590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 E CHESTNUT ST
AUGUSTA, ME
ZIP 04330-758
Phone: (207) 626-7400
Fax: (207) 626-7401

The NPI 1477120590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 8/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramEC211071MAINENo
2207QG0300XFamily MedicineGeriatric MedicineMD24835MAINEYes

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: 11/21/2025

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