Provider Demographics
NPI:1538266507
Name:ALOZIE-UDDOH, IHUOMA UDO (MD)
Entity type:Individual
Prefix:
First Name:IHUOMA
Middle Name:UDO
Last Name:ALOZIE-UDDOH
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 1:1825 NEREID AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1243
Mailing Address - Country:US
Mailing Address - Phone:718-325-5466
Mailing Address - Fax:718-325-5422
Practice Address - Street 1:1825 NEREID AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1243
Practice Address - Country:US
Practice Address - Phone:718-325-5466
Practice Address - Fax:718-325-5422
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223811207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02312485Medicaid
NYH74276Medicare UPIN
NY427A71Medicare ID - Type Unspecified