Provider Demographics
NPI:1326209354
Name:IGUH, BERNADETTE UCHE (MD)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:UCHE
Last Name:IGUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12660 BEECHNUT ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3981
Mailing Address - Country:US
Mailing Address - Phone:281-564-2242
Mailing Address - Fax:
Practice Address - Street 1:12660 BEECHNUT ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3981
Practice Address - Country:US
Practice Address - Phone:281-564-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243920207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine