Provider Demographics
NPI:1376871210
Name:UYADI, MOSES CHUKWUEMEKA SR
Entity type:Individual
Prefix:
First Name:MOSES
Middle Name:CHUKWUEMEKA
Last Name:UYADI
Suffix:SR
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 1:3552 BONITA GROVE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-9713
Mailing Address - Country:US
Mailing Address - Phone:919-649-2586
Mailing Address - Fax:
Practice Address - Street 1:2609 ATLANTIC AVE STE 101A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1550
Practice Address - Country:US
Practice Address - Phone:919-649-2586
Practice Address - Fax:919-424-7361
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-04
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator