Provider Demographics
NPI:1780568212
Name:UBOH, EMAH ENO (MBBS)
Entity type:Individual
Prefix:DR
First Name:EMAH
Middle Name:ENO
Last Name:UBOH
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7800 YOUREE DR APT 606
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-5513
Mailing Address - Country:US
Mailing Address - Phone:318-779-7743
Mailing Address - Fax:
Practice Address - Street 1:LSU HEALTH SHREVEPORT
Practice Address - Street 2:1501 KINGS HIGHWAY
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71130-3932
Practice Address - Country:US
Practice Address - Phone:318-675-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA347687207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine