Provider Demographics
NPI:1629189964
Name:UGWUH-MOSS, NKECHI PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NKECHI
Middle Name:PATRICIA
Last Name:UGWUH-MOSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S UNIVERSITY AVE
Mailing Address - Street 2:SUITE 119
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5302
Mailing Address - Country:US
Mailing Address - Phone:501-664-6400
Mailing Address - Fax:501-664-6431
Practice Address - Street 1:500 S UNIVERSITY AVE
Practice Address - Street 2:SUITE 119
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5302
Practice Address - Country:US
Practice Address - Phone:501-680-2847
Practice Address - Fax:501-664-6431
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-1042207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR129680001Medicaid
29188Medicare UPIN