Provider Demographics
NPI:1538634399
Name:UCHE-UKAH, TOCHUKWU CHIOMA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:TOCHUKWU
Middle Name:CHIOMA
Last Name:UCHE-UKAH
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9670 FOREST LN APT 1066
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5833
Mailing Address - Country:US
Mailing Address - Phone:682-241-5107
Mailing Address - Fax:
Practice Address - Street 1:DR KATARI, ENCOMPASS HEALTH REHABILITATIONS
Practice Address - Street 2:7930 NORTHAVEN RD,
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:214-425-0245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily