Provider Demographics
NPI:1992214589
Name:URADU MEDICAL SERVICES
Entity Type:Organization
Organization Name:URADU MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:ONYINYECHI
Authorized Official - Last Name:URADU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-414-0111
Mailing Address - Street 1:802 CLARE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2583
Mailing Address - Country:US
Mailing Address - Phone:740-414-0111
Mailing Address - Fax:
Practice Address - Street 1:802 CLARE AVE STE 102
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2583
Practice Address - Country:US
Practice Address - Phone:740-414-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X
OH35.088677261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care