Provider Demographics
NPI:1861065898
Name:UKAH, EDWARD
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:UKAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7255 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-5801
Mailing Address - Country:US
Mailing Address - Phone:832-834-5570
Mailing Address - Fax:832-834-5580
Practice Address - Street 1:7255 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5801
Practice Address - Country:US
Practice Address - Phone:832-834-5570
Practice Address - Fax:832-834-5580
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy