Active NPI
Gyne Health Obstetrics & Gynecology LLC
- Obstetrics & Gynecology Physician
- Alexandria, VA
National Provider Identifier
1215376025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101244682
- Legal business name
- GYNE HEALTH OBSTETRICS & GYNECOLOGY LLC
- Practice address
- 2807 Duke St
Alexandria, VA 22314-4512 - Phone
- (401) 419-5998
- NPI assigned
- Jun 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eteakamba Udoh, MD
- Title
- Director
- Phone
- (401) 419-5998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101244682 | VA | Primary |
Addresses
Primary practice location
2807 Duke St
Alexandria, VA 22314-4512
Mailing address
9202 Silverose CT
Fairfax Station, VA 22039-3116
Phone (401) 419-5998
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371168000000",
"number": "1215376025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9202 SILVEROSE CT",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393116",
"telephone_number": "401-419-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144512",
"telephone_number": "401-419-5998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYNE HEALTH OBSTETRICS & GYNECOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A",
"authorized_official_last_name": "UDOH",
"authorized_official_first_name": "ETEAKAMBA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "401-419-5998",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101244682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.