Provider Demographics
NPI:1578883377
Name:OZUAH, UCHENNA CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:CHRISTOPHER
Last Name:OZUAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10695 ASTORIA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9063
Mailing Address - Country:US
Mailing Address - Phone:214-872-1827
Mailing Address - Fax:214-872-1827
Practice Address - Street 1:10695 ASTORIA DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9063
Practice Address - Country:US
Practice Address - Phone:214-872-1827
Practice Address - Fax:214-872-1827
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47523207R00000X
TXP6489207R00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1524553Medicaid
TN1524553Medicaid