Provider Demographics
NPI:1013085091
Name:UCHE, ANAYOCHUKWU (MD)
Entity type:Individual
Prefix:DR
First Name:ANAYOCHUKWU
Middle Name:
Last Name:UCHE
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 1:2771 SILVER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7959
Mailing Address - Country:US
Mailing Address - Phone:928-704-0222
Mailing Address - Fax:928-704-2666
Practice Address - Street 1:2771 SILVER CREEK RD
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-7959
Practice Address - Country:US
Practice Address - Phone:928-704-0222
Practice Address - Fax:928-704-2666
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36093207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine