Ibidunni Omolayo Ukegbu (NPI# 1447213194, PAC ID# 5991772451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1447213194 |
| PAC ID by PECOS | 5991772451 |
| Professional Enrollment ID | I20040914000544 |
| Full Name | Ibidunni Omolayo Ukegbu |
| Address |
2727 Bolton Boone Dr Suite 103 Desoto TX 75115-2019 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450411 | EASTLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8067 W Virginia Dr, Suite 101, Dallas, TX 75237-3767 | ||
| 2727 Bolton Boone Dr, Suite 103, Desoto, TX 75115-2019 | ||
| 305 N Mckinney St, Sweeny, TX 77480-2801 | 9795481500 | CONCORD MEDICAL GROUP PLLC |
| Street Address |
2727 BOLTON BOONE DR SUITE 103 |
| City | DESOTO |
| State | TX |
| Zip | 75115-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nallu R Reddy | Internal Medicine | 2727 Bolton Boone Dr, Suite 111, Desoto, TX 75115-2019 | |
| Keisha Lashun Witherspoon | Nurse Practitioner | 2727 Bolton Boone Dr, Suite 104b, Desoto, TX 75115-2019 | |
| Viral Lathia | Interventional Cardiology | Precision Cardiac and Vascular Care Pllc | 2727 Bolton Boone Dr, Suite 112, Desoto, TX 75115-2019 |
| Frank T Dean | Obstetrics/gynecology | 2727 Bolton Boone Dr, Suite 105, Desoto, TX 75115-2019 | |
| Lamea Horton | Nurse Practitioner | 2727 Bolton Boone Dr, Suite 110, Desoto, TX 75115-2019 | |
| Narinder K Monga | Colorectal Surgery (proctology) | 2727 Bolton Boone Dr, Suite 108, Desoto, TX 75115-2019 | |
| Olubayo A Idowu | Internal Medicine | 2727 Bolton Boone Dr, Suite 102, Desoto, TX 75115-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaheena Minhas | Psychiatry | 800 Kirnwood Dr, Desoto, TX 75115-2000 | |
| Angela L Huff | Neurology | 2719 Bolton Boone Dr, Desoto, TX 75115-2009 | |
| Steven M Reinecke | Ophthalmology | Robert E. Torti, Md, Pa | 2625 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Kyle Smith | Nephrology | Dallas Nephrology Associates | 2651 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Parul K Patel | Podiatry | 2611 Bolton Boone Dr, Desoto, TX 75115-2011 | |
| Hassan Alhalabi | Nephrology | Dallas Nephrology Associates | 2651 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Richard C Fuquay | Nephrology | Dallas Nephrology Associates | 2651 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Mario J Robles-franceschini | Nephrology | Dallas Nephrology Associates | 2651 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Henry Choi | Ophthalmology | Robert E. Torti, Md, Pa | 2625 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Jyothsna Kodali | Nephrology | Dallas Nephrology Associates | 2651 Bolton Boone Dr, Desoto, TX 75115-2011 |
| Find all physicians in zip 75115 | |||
| City | DESOTO |
| Zip Code | 75115 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DESOTO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ibidunni Omolayo Ukegbu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.