1881385896 NPI number — CHIOMA VICTORIA NWACHUKWU M.D.

Table of content: CHIOMA VICTORIA NWACHUKWU M.D. (NPI 1881385896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881385896 NPI number — CHIOMA VICTORIA NWACHUKWU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NWACHUKWU
Provider First Name:
CHIOMA
Provider Middle Name:
VICTORIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NWIZU
Provider Other First Name:
CHIOMA
Provider Other Middle Name:
VICTORIA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881385896
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 GUION PLACE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ROCHELLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-365-3680
Provider Business Mailing Address Fax Number:
914-365-5489

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 GUION PLACE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ROCHELLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-365-3680
Provider Business Practice Location Address Fax Number:
914-365-5489
Provider Enumeration Date:
05/19/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com