Active NPIIndividual provider

Inimfon Udoh, MD

Family Medicine in Ladysmith, Wisconsin

NPI Number1720438187
Practice location
1200 Port Arthur RD, Ladysmith, WI 54848-1137
Fax
—
Last updated
August 23, 2024

Inimfon Udoh is a Family Medicine based in Ladysmith, WI. Inimfon Udoh practices in Ladysmith, WI and has the professional credentials of MD. The NPI Number for Inimfon Udoh is 1720438187 and holds a License No. 71408 (WI). The current practice location address for Inimfon Udoh is 1200 Port Arthur RD, Ladysmith, WI 54848-1137 and can be reached out via phone at 715-532-5561.

Provider Profile Details

NPI Number
1720438187
Provider Name
Inimfon Udoh
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 Port Arthur RD, Ladysmith, WI 54848-1137
Phone Number
715-532-5561
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
Dr. Inimfon Udoh, MD (Professional Name)
Provider Enumeration Date
June 16, 2016
Last Update Date
August 23, 2024
Certification Date
August 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Port Arthur RD
Ladysmith, WI 54848-1137
Zip
54848-1137
Phone Number
715-532-5561
Ladysmith, WI 54848Get directions →

Provider Business Mailing Address Details

Address
Ynhh Northeast Medical Group Family Medicine
2 Sandy Desert RD.
Uncasville, CT 06382
City
Uncasville
State
CT
Zip
06382
Phone Number
860-464-3800
Fax Number
860-464-3801

License Information

License Number (1)
71408
License State (1)
WI
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
077374
License State (2)
CT
Taxonomy (2)
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 Inimfon Udoh, MD?

The NPI number of Inimfon Udoh, MD is 1720438187. It was assigned on June 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Inimfon Udoh, MD?

Inimfon Udoh, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in WI under license number 71408.

Where does Inimfon Udoh, MD practice?

The practice location is 1200 Port Arthur RD, Ladysmith, WI 54848-1137. The office can be reached at 715-532-5561 (phone).

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 1720438187 directly on the NPPES registry website.

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