Provider Demographics
NPI:1144238213
Name:UKIOMOGBE, CHRISTOPHER IKHAMATE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:IKHAMATE
Last Name:UKIOMOGBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:108 BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8272
Mailing Address - Country:US
Mailing Address - Phone:561-204-5514
Mailing Address - Fax:561-204-5513
Practice Address - Street 1:18585 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33056-3104
Practice Address - Country:US
Practice Address - Phone:305-621-3430
Practice Address - Fax:305-620-0810
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0071980207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine