Provider Demographics
NPI:1154612760
Name:UKAZU, ADANNA C (MD)
Entity type:Individual
Prefix:DR
First Name:ADANNA
Middle Name:C
Last Name:UKAZU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2238 ALMOND CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-2983
Mailing Address - Country:US
Mailing Address - Phone:979-267-0368
Mailing Address - Fax:917-900-1547
Practice Address - Street 1:12000 RICHMOND AVE STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2428
Practice Address - Country:US
Practice Address - Phone:979-267-0368
Practice Address - Fax:917-900-1547
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09494300207V00000X
TXS87812083A0300X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine