Provider Demographics
NPI:1316280936
Name:NWADIBIA, UKAMAKA N (MD)
Entity type:Individual
Prefix:
First Name:UKAMAKA
Middle Name:N
Last Name:NWADIBIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:UKAMAKA
Other - Middle Name:N
Other - Last Name:AMAECHINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1321 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1502
Mailing Address - Country:US
Mailing Address - Phone:605-404-4000
Mailing Address - Fax:605-312-9091
Practice Address - Street 1:1321 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1502
Practice Address - Country:US
Practice Address - Phone:605-404-4000
Practice Address - Fax:605-312-9091
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine