Melanie M Ukanwa (NPI# 1114969896, PAC ID# 8426151523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114969896 |
| PAC ID by PECOS | 8426151523 |
| Professional Enrollment ID | I20070309000468 |
| Full Name | Melanie M Ukanwa |
| Organization Legal Name | MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC |
| Address |
3900 Eubank Blvd Ne 18 Mch Eubank Office Albuquerque NM 87111-3427 |
| Phone Number | 5054334037 |
| Gender | F |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810154044 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 321308 | CIBOLA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3900 Eubank Blvd Ne, 18 Mch Eubank Office, Albuquerque, NM 87111-3427 | 5054334037 | MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC |
| Organization Legal Name | MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier A Vera | Psychiatry | Mayimrapha Comprehensive Healthcare, LLC | 3900 Eubank Blvd Ne, 18 Mch Eubank Office, Albuquerque, NM 87111-3427 |
| Street Address |
3900 EUBANK BLVD NE 18 MCH EUBANK OFFICE |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87111-3427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier A Vera | Psychiatry | Mayimrapha Comprehensive Healthcare, LLC | 3900 Eubank Blvd Ne, 18 Mch Eubank Office, Albuquerque, NM 87111-3427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niki M Ninopoulos | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Zachary Haas | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
| Stephanie S Gonzales | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Matthew D Cobb | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
| John Carey | Dermatology | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Mark Haas | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
| Emily J Bryl | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Sonja M Strack | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
| Alicia D Holder | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
| Don C Woods | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
| Find all physicians in zip 87111 | |||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALBUQUERQUE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Melanie M Ukanwa.
| 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.