Active NPIIndividual provider

Dr. Mojisola G Ukabi, MD

Family Medicine in Brookfield, Connecticut

NPI Number1629206743
Practice location
401 Federal RD, Brookfield, CT 06804-2037
Fax
203-740-3010
Last updated
October 31, 2021

Mojisola Gladys Ukabi is a Family Medicine based in Brookfield, CT. Mojisola Gladys Ukabi practices in Brookfield, CT and has the professional credentials of MD. The NPI Number for Mojisola Gladys Ukabi is 1629206743 and holds a License No. 62160 (CT). The current practice location address for Mojisola Gladys Ukabi is 401 Federal RD, Brookfield, CT 06804-2037 and can be reached out via phone at 203-775-6365 and via fax at 203-740-3010.

Provider Profile Details

NPI Number
1629206743
Provider Name
Mojisola Gladys Ukabi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
401 Federal RD, Brookfield, CT 06804-2037
Phone Number
203-775-6365
Fax Number
203-740-3010
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
-- Mojisola Gladys Ukabi, MD (Former Name)
Provider Enumeration Date
June 26, 2009
Last Update Date
October 31, 2021
Certification Date
October 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Federal RD
Brookfield, CT 06804-2037
Zip
06804-2037
Phone Number
203-775-6365
Fax Number
203-740-3010
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
8 Avalon Way
Sandy Hook, CT 06482-1661
City
Sandy Hook
State
CT
Zip
06482-1661
Phone Number
713-213-2955

License Information

License Number
62160
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mojisola G Ukabi, MD?

The NPI number of Dr. Mojisola G Ukabi, MD is 1629206743. It was assigned on June 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Mojisola G Ukabi, MD?

Dr. Mojisola G Ukabi, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 62160.

Where does Dr. Mojisola G Ukabi, MD practice?

The practice location is 401 Federal RD, Brookfield, CT 06804-2037. The office can be reached at 203-775-6365 (phone) or 203-740-3010 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629206743 directly on the NPPES registry website.

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