Provider Demographics
NPI:1851045678
Name:MGBAME, UCHENNA
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:
Last Name:MGBAME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8118 SINGING SONNET LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-0130
Mailing Address - Country:US
Mailing Address - Phone:832-767-7683
Mailing Address - Fax:
Practice Address - Street 1:8118 SINGING SONNET LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-0130
Practice Address - Country:US
Practice Address - Phone:832-767-7683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)