Provider Demographics
NPI:1699975292
Name:EVUKA, UZOMA NKASIOBI (RVS)
Entity type:Individual
Prefix:
First Name:UZOMA
Middle Name:NKASIOBI
Last Name:EVUKA
Suffix:
Gender:M
Credentials:RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5832 W SAN MIGUEL AVE
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-5907
Mailing Address - Country:US
Mailing Address - Phone:623-455-1219
Mailing Address - Fax:623-547-6105
Practice Address - Street 1:5832 W SAN MIGUEL AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-5907
Practice Address - Country:US
Practice Address - Phone:623-455-1219
Practice Address - Fax:623-547-6105
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-21
Last Update Date:2007-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00056221246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist