Provider Demographics
NPI:1144532433
Name:UKAIRO, GRACE OKORIE (MD)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:OKORIE
Last Name:UKAIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:EKE
Other - Middle Name:OKORIE
Other - Last Name:AWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1144 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1039
Mailing Address - Country:US
Mailing Address - Phone:614-234-0200
Mailing Address - Fax:614-234-0201
Practice Address - Street 1:1144 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1039
Practice Address - Country:US
Practice Address - Phone:614-234-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ000000000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine